Provider Demographics
NPI:1679851596
Name:SUPERIOR HOSPICE OF DEL RIO LLC
Entity Type:Organization
Organization Name:SUPERIOR HOSPICE OF DEL RIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:JUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-558-7710
Mailing Address - Street 1:8000 VANTAGE DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-4781
Mailing Address - Country:US
Mailing Address - Phone:210-558-7710
Mailing Address - Fax:210-558-7724
Practice Address - Street 1:159 BRADDIE DR STE 1-A
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-3159
Practice Address - Country:US
Practice Address - Phone:830-775-7102
Practice Address - Fax:830-774-7282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-26
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based