Provider Demographics
NPI:1659852143
Name:SPECTRUM HOSPICE AND HOME CARE INC
Entity Type:Organization
Organization Name:SPECTRUM HOSPICE AND HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-970-6221
Mailing Address - Street 1:1802 SCOBEY AVE STE C
Mailing Address - Street 2:
Mailing Address - City:DONNA
Mailing Address - State:TX
Mailing Address - Zip Code:78537-2942
Mailing Address - Country:US
Mailing Address - Phone:956-970-6221
Mailing Address - Fax:956-464-8706
Practice Address - Street 1:1802 SCOBEY AVE STE C
Practice Address - Street 2:
Practice Address - City:DONNA
Practice Address - State:TX
Practice Address - Zip Code:78537-2942
Practice Address - Country:US
Practice Address - Phone:956-970-6221
Practice Address - Fax:956-464-8706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-23
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care