Provider Demographics
NPI:1760144281
Name:CFHC NO 20, INC
Entity Type:Organization
Organization Name:CFHC NO 20, INC
Other - Org Name:ALTA VITA HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:OZGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-441-2557
Mailing Address - Street 1:10300 HERITAGE ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216
Mailing Address - Country:US
Mailing Address - Phone:210-332-5462
Mailing Address - Fax:210-349-7876
Practice Address - Street 1:10300 HERITAGE ST
Practice Address - Street 2:SUITE 130
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216
Practice Address - Country:US
Practice Address - Phone:210-332-5462
Practice Address - Fax:210-349-7876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-12
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based