Provider Demographics
NPI:1396983383
Name:HOSPICE COMPASSIONATE CARE SERVICES, LLC
Entity type:Organization
Organization Name:HOSPICE COMPASSIONATE CARE SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FERNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, MDIV, MA
Authorized Official - Phone:956-369-5225
Mailing Address - Street 1:2411 E GRIFFIN PKWY
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-3301
Mailing Address - Country:US
Mailing Address - Phone:956-581-9450
Mailing Address - Fax:956-581-8660
Practice Address - Street 1:2411 E GRIFFIN PKWY
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-3301
Practice Address - Country:US
Practice Address - Phone:956-581-9450
Practice Address - Fax:956-581-8660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-28
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based