Provider Demographics
NPI:1215412127
Name:CONCORD HOSPICE CARE LLC
Entity Type:Organization
Organization Name:CONCORD HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-532-6584
Mailing Address - Street 1:7981 MILE 17 N STE C
Mailing Address - Street 2:
Mailing Address - City:EDCOUCH
Mailing Address - State:TX
Mailing Address - Zip Code:78538-2096
Mailing Address - Country:US
Mailing Address - Phone:956-532-7983
Mailing Address - Fax:956-271-6182
Practice Address - Street 1:7981 MILE 17 N STE C
Practice Address - Street 2:
Practice Address - City:EDCOUCH
Practice Address - State:TX
Practice Address - Zip Code:78538-2096
Practice Address - Country:US
Practice Address - Phone:956-532-7983
Practice Address - Fax:956-271-6182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-26
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community Based
No163WH1000XNursing Service ProvidersRegistered NurseHospiceGroup - Multi-Specialty