Provider Demographics
NPI:1740602135
Name:HOSPICE SPECIALTY, INC.
Entity Type:Organization
Organization Name:HOSPICE SPECIALTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ALT ADMIN
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUAJARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-740-0106
Mailing Address - Street 1:1220 SCOTT ST
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78040-6356
Mailing Address - Country:US
Mailing Address - Phone:956-740-0106
Mailing Address - Fax:
Practice Address - Street 1:1220 SCOTT ST
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040-6356
Practice Address - Country:US
Practice Address - Phone:956-740-0106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-20
Last Update Date:2014-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based