Provider Demographics
NPI:1851414890
Name:CORPUS CHRISTI HOME CARE AND HOSPICE LLC
Entity Type:Organization
Organization Name:CORPUS CHRISTI HOME CARE AND HOSPICE LLC
Other - Org Name:CORPUS CHRISTI HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADA
Authorized Official - Middle Name:A
Authorized Official - Last Name:NGASKA
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:602-621-2277
Mailing Address - Street 1:3001 W INDIAN SCHOOL RD
Mailing Address - Street 2:SUITE #26
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85017
Mailing Address - Country:US
Mailing Address - Phone:602-264-4487
Mailing Address - Fax:888-229-7587
Practice Address - Street 1:3001 W INDIAN SCHOOL RD
Practice Address - Street 2:SUITE #26
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85017
Practice Address - Country:US
Practice Address - Phone:602-264-4487
Practice Address - Fax:888-229-7587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based