Provider Demographics
NPI:1912611229
Name:ANGELUS HOSPICE AND PALLIATIVE CARE LLC
Entity Type:Organization
Organization Name:ANGELUS HOSPICE AND PALLIATIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:IHESIABA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-300-0478
Mailing Address - Street 1:9847 MARBACH BND
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-1699
Mailing Address - Country:US
Mailing Address - Phone:210-300-0478
Mailing Address - Fax:
Practice Address - Street 1:9847 MARBACH BND
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-1699
Practice Address - Country:US
Practice Address - Phone:210-300-0478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based