Provider Demographics
NPI:1720549876
Name:GRANDVIEW HOSPICE INC
Entity Type:Organization
Organization Name:GRANDVIEW HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:ZUNIGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-240-7988
Mailing Address - Street 1:4141 PINNACLE ST STE 209
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-1042
Mailing Address - Country:US
Mailing Address - Phone:915-240-7988
Mailing Address - Fax:915-534-7874
Practice Address - Street 1:4141 PINNACLE ST STE 209
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1042
Practice Address - Country:US
Practice Address - Phone:915-240-7988
Practice Address - Fax:915-534-7874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-29
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based