Provider Demographics
NPI:1871012450
Name:BOERNE HOSPICE PARTNERS, LLC
Entity Type:Organization
Organization Name:BOERNE HOSPICE PARTNERS, LLC
Other - Org Name:CREST PALLIATIVE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGBEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-843-7279
Mailing Address - Street 1:3200 BROADWAY BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-9909
Mailing Address - Country:US
Mailing Address - Phone:972-278-0905
Mailing Address - Fax:972-278-1289
Practice Address - Street 1:4085 DE ZAVALA RD STE 100
Practice Address - Street 2:
Practice Address - City:SHAVANO PARK
Practice Address - State:TX
Practice Address - Zip Code:78249-2085
Practice Address - Country:US
Practice Address - Phone:210-469-3200
Practice Address - Fax:210-642-4995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-14
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based