Provider Demographics
NPI:1891798120
Name:HOSPICE CARE TEAM, INC
Entity Type:Organization
Organization Name:HOSPICE CARE TEAM, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:BOOTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-730-7711
Mailing Address - Street 1:11441 32ND AVE N STE B
Mailing Address - Street 2:
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77591-2200
Mailing Address - Country:US
Mailing Address - Phone:409-938-0070
Mailing Address - Fax:409-316-9575
Practice Address - Street 1:11441 32ND AVE N STE B
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-2200
Practice Address - Country:US
Practice Address - Phone:409-938-0070
Practice Address - Fax:409-316-9575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-31
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000200700Medicaid
TX001694Medicare ID - Type UnspecifiedHOSPICE
TX000200700Medicaid