Provider Demographics
NPI:1841839057
Name:EAGLE PASS HOSPICE AND PALLIATIVE CARE LLC
Entity type:Organization
Organization Name:EAGLE PASS HOSPICE AND PALLIATIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:TIPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-213-8122
Mailing Address - Street 1:152 ZAMORA MEDICAL CIR STE 4
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-5919
Mailing Address - Country:US
Mailing Address - Phone:830-213-8122
Mailing Address - Fax:830-213-8630
Practice Address - Street 1:152 ZAMORA MEDICAL CIR STE 4
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-5919
Practice Address - Country:US
Practice Address - Phone:830-213-8122
Practice Address - Fax:830-213-8630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-06
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
No385H00000XRespite Care FacilityRespite Care
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp