Provider Demographics
NPI:1891442067
Name:SUPERIOR HOSPICE IX LLC
Entity Type:Organization
Organization Name:SUPERIOR HOSPICE IX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:JUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-279-1310
Mailing Address - Street 1:8000 VANTAGE DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-4727
Mailing Address - Country:US
Mailing Address - Phone:956-279-1310
Mailing Address - Fax:210-558-7724
Practice Address - Street 1:8000 VANTAGE DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-4727
Practice Address - Country:US
Practice Address - Phone:956-279-1310
Practice Address - Fax:210-558-7724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based