Provider Demographics
NPI:1235418096
Name:SEASONS HOSPICE & PALLIATIVE CARE OF TEXAS- SAN ANTONIO LLC
Entity Type:Organization
Organization Name:SEASONS HOSPICE & PALLIATIVE CARE OF TEXAS- SAN ANTONIO LLC
Other - Org Name:ACCENTCARE HOSPICE & PALLIATIVE CARE OF TEXAS -SAN ANTONIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP LEGAL
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SISCEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-221-0465
Mailing Address - Street 1:6400 SHAFER CT
Mailing Address - Street 2:STE 700
Mailing Address - City:ROSEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60018-4914
Mailing Address - Country:US
Mailing Address - Phone:847-692-1000
Mailing Address - Fax:
Practice Address - Street 1:300 E SONTERRA BLVD
Practice Address - Street 2:STE 1260
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3971
Practice Address - Country:US
Practice Address - Phone:855-425-1055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-11
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001020859Medicaid
TX001020859Medicaid