Provider Demographics
NPI:1891223632
Name:AMOR MIO HOSPICE L.L.C.
Entity Type:Organization
Organization Name:AMOR MIO HOSPICE L.L.C.
Other - Org Name:AMOR MIO HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALVARO
Authorized Official - Middle Name:
Authorized Official - Last Name:PENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-487-0151
Mailing Address - Street 1:2544 CENTRAL PALM DR STE 106B
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-6667
Mailing Address - Country:US
Mailing Address - Phone:956-487-0151
Mailing Address - Fax:
Practice Address - Street 1:2544 CENTRAL PALM DR STE 106B
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-6667
Practice Address - Country:US
Practice Address - Phone:956-487-0151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based