Provider Demographics
NPI:1376070201
Name:HALLMARK HOSPICE CARE LLC
Entity type:Organization
Organization Name:HALLMARK HOSPICE CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:PETERSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-643-7098
Mailing Address - Street 1:1840 LOCKHILL SELMA RD STE 103B
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-1550
Mailing Address - Country:US
Mailing Address - Phone:210-643-7098
Mailing Address - Fax:888-696-3440
Practice Address - Street 1:1840 LOCKHILL SELMA RD STE 103B
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1550
Practice Address - Country:US
Practice Address - Phone:210-643-7098
Practice Address - Fax:888-696-3440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-23
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based