Provider Demographics
NPI:1407149115
Name:VGG ENTERPRISES, LLC
Entity Type:Organization
Organization Name:VGG ENTERPRISES, LLC
Other - Org Name:TRANSITION HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZABA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-446-4117
Mailing Address - Street 1:7390 BARLITE BLVD
Mailing Address - Street 2:STE 345
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-1337
Mailing Address - Country:US
Mailing Address - Phone:210-446-4117
Mailing Address - Fax:210-446-4116
Practice Address - Street 1:7390 BARLITE BLVD
Practice Address - Street 2:STE 345
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1337
Practice Address - Country:US
Practice Address - Phone:210-446-4117
Practice Address - Fax:210-446-4116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-27
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No251V00000XAgenciesVoluntary or Charitable