Provider Demographics
NPI:1265929871
Name:PEACE OF MIND HOSPICE 3, LLC
Entity type:Organization
Organization Name:PEACE OF MIND HOSPICE 3, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-455-0647
Mailing Address - Street 1:14100 SAN PEDRO AVE STE 602
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-4363
Mailing Address - Country:US
Mailing Address - Phone:210-455-0647
Mailing Address - Fax:830-208-8225
Practice Address - Street 1:14100 SAN PEDRO AVE STE 602
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-4363
Practice Address - Country:US
Practice Address - Phone:210-455-0647
Practice Address - Fax:830-208-8225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-18
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based