Provider Demographics
NPI:1467780577
Name:LEON SPRINGS PAS LLC
Entity Type:Organization
Organization Name:LEON SPRINGS PAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ASSIT. ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:KITCHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-410-3864
Mailing Address - Street 1:24137 BOERNE STAGE RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78255-9517
Mailing Address - Country:US
Mailing Address - Phone:210-698-9365
Mailing Address - Fax:210-735-8271
Practice Address - Street 1:24137 BOERNE STAGE RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78255-9517
Practice Address - Country:US
Practice Address - Phone:210-698-9365
Practice Address - Fax:210-735-8271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-01
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32040577382251G00000X
TX253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251G00000XAgenciesHospice Care, Community Based