Provider Demographics
NPI:1497900542
Name:CHRISTUS CONTINUING CARE
Entity Type:Organization
Organization Name:CHRISTUS CONTINUING CARE
Other - Org Name:CHRISTUS VNA HOSPICE AND PALLIATIVE CARE - SAN ANTONIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:GENERALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-282-2192
Mailing Address - Street 1:4241 WOODCOCK DR STE A100
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1337
Mailing Address - Country:US
Mailing Address - Phone:210-785-5200
Mailing Address - Fax:210-785-5490
Practice Address - Street 1:4241 WOODCOCK DR STE A100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1337
Practice Address - Country:US
Practice Address - Phone:210-785-5200
Practice Address - Fax:210-785-5490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-17
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7042207RH0002X, 251G00000X
TX722046363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Multi-Specialty
No251G00000XAgenciesHospice Care, Community BasedGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB118232Medicare PIN