Provider Demographics
NPI:1821521907
Name:AIP HOSPICE, LLC
Entity Type:Organization
Organization Name:AIP HOSPICE, LLC
Other - Org Name:CHANGING SEASONS HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-777-5264
Mailing Address - Street 1:5962 DANNY KAYE DR
Mailing Address - Street 2:BUILDING 4
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-5221
Mailing Address - Country:US
Mailing Address - Phone:210-260-3000
Mailing Address - Fax:210-310-3930
Practice Address - Street 1:5962 DANNY KAYE DR
Practice Address - Street 2:BUILDING 4
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-5221
Practice Address - Country:US
Practice Address - Phone:210-260-3000
Practice Address - Fax:210-310-3930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based