Provider Demographics
NPI:1659619898
Name:HILL COUNTRY SENIOR SERVICES LLC
Entity Type:Organization
Organization Name:HILL COUNTRY SENIOR SERVICES LLC
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEAN-MARC
Authorized Official - Middle Name:GOMEZ
Authorized Official - Last Name:MIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-480-1546
Mailing Address - Street 1:910 GRUENE RD
Mailing Address - Street 2:BUILDING 5A
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-0200
Mailing Address - Country:US
Mailing Address - Phone:830-624-8380
Mailing Address - Fax:830-620-5381
Practice Address - Street 1:910 GRUENE RD
Practice Address - Street 2:BUILDING 5A
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-0200
Practice Address - Country:US
Practice Address - Phone:830-624-8380
Practice Address - Fax:830-620-5381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-23
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care