Provider Demographics
NPI:1144616814
Name:UNITED HOSPICE CARE SERVICES LLC
Entity Type:Organization
Organization Name:UNITED HOSPICE CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:L
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-520-7054
Mailing Address - Street 1:1609 DAVENPORT ST STE C
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6543
Mailing Address - Country:US
Mailing Address - Phone:956-520-7054
Mailing Address - Fax:956-520-8941
Practice Address - Street 1:1609 DAVENPORT ST STE C
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6543
Practice Address - Country:US
Practice Address - Phone:956-520-7054
Practice Address - Fax:956-520-8941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based