Provider Demographics
NPI:1265805097
Name:LIFE CARE HOSPICE AND PALLIATIVE SERVICES, LLC
Entity type:Organization
Organization Name:LIFE CARE HOSPICE AND PALLIATIVE SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:FROYLAN
Authorized Official - Last Name:CARBAJAL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-314-6270
Mailing Address - Street 1:8546 BROADWAY ST STE 213
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-6340
Mailing Address - Country:US
Mailing Address - Phone:210-907-8733
Mailing Address - Fax:888-977-3184
Practice Address - Street 1:3247 N 38TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-3301
Practice Address - Country:US
Practice Address - Phone:210-907-8733
Practice Address - Fax:888-977-3184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-02
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based