Provider Demographics
NPI:1497218234
Name:CARESTAT HOSPICE, LLC
Entity Type:Organization
Organization Name:CARESTAT HOSPICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-242-3004
Mailing Address - Street 1:13330 LEOPARD ST STE 20
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-4479
Mailing Address - Country:US
Mailing Address - Phone:361-242-3004
Mailing Address - Fax:361-242-3006
Practice Address - Street 1:13330 LEOPARD ST STE 20
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78410-4479
Practice Address - Country:US
Practice Address - Phone:361-242-3004
Practice Address - Fax:361-242-3006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-09
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based