Provider Demographics
NPI:1275172637
Name:HOLISTIC HOSPICE CARE LLC
Entity Type:Organization
Organization Name:HOLISTIC HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDOVAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-664-3901
Mailing Address - Street 1:4115 MEDICAL DR STE 5212
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5657
Mailing Address - Country:US
Mailing Address - Phone:210-664-3901
Mailing Address - Fax:210-664-3909
Practice Address - Street 1:4115 MEDICAL DR STE 302E
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-5657
Practice Address - Country:US
Practice Address - Phone:210-664-3901
Practice Address - Fax:210-664-3909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-03
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community BasedGroup - Single Specialty