Provider Demographics
NPI:1497863732
Name:AMOR DE ANGEL HOSPICE INC
Entity Type:Organization
Organization Name:AMOR DE ANGEL HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF LEGAL AFFAIRS ADMIN
Authorized Official - Prefix:MR
Authorized Official - First Name:AL
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:PINTOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN JD
Authorized Official - Phone:956-581-1251
Mailing Address - Street 1:8104 W EXPRESSWAY 83
Mailing Address - Street 2:STE B
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572
Mailing Address - Country:US
Mailing Address - Phone:956-581-1251
Mailing Address - Fax:956-581-4859
Practice Address - Street 1:8104 W EXPRESSWAY 83
Practice Address - Street 2:STE B
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572
Practice Address - Country:US
Practice Address - Phone:956-581-1251
Practice Address - Fax:956-581-4859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009994163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH1000XNursing Service ProvidersRegistered NurseHospiceGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
677881671530Medicare ID - Type Unspecified