Provider Demographics
NPI:1952660003
Name:CAMINO HOSPICE CORPORATION
Entity Type:Organization
Organization Name:CAMINO HOSPICE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:
Authorized Official - Last Name:JUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:915-313-4720
Mailing Address - Street 1:7806 GATEWAY BLVD E STE 100
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79915-1806
Mailing Address - Country:US
Mailing Address - Phone:915-313-4720
Mailing Address - Fax:915-313-4277
Practice Address - Street 1:7806 GATEWAY BLVD E STE 100
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915-1806
Practice Address - Country:US
Practice Address - Phone:915-313-4720
Practice Address - Fax:915-313-4277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-10
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX801589272251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based