Provider Demographics
NPI:1588857775
Name:LAREDO HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:LAREDO HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALANIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-718-3000
Mailing Address - Street 1:213 W VILLAGE BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-2283
Mailing Address - Country:US
Mailing Address - Phone:956-718-3000
Mailing Address - Fax:956-722-3006
Practice Address - Street 1:213 W VILLAGE BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-2283
Practice Address - Country:US
Practice Address - Phone:956-718-3000
Practice Address - Fax:956-722-3006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012238251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX012238OtherHOSPICE LICENSE
TX45D1066339OtherCLIA
TX012238OtherHOSPICE LICENSE