Organization
COMPREHENSIVE HOSPICE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIMENA PEREZ DE LEON (COO)
(210) 614-0200
Entity
Organization
Contact information
Practice address
4204 GARDENDALE ST STE 104, SAN ANTONIO, TX 78229-3138
(210) 614-0200
(210) 569-6497
Mailing address
4204 GARDENDALE ST STE 104, SAN ANTONIO, TX 78229-3138
(210) 614-0200
(210) 569-6497
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019401
TDHHS
TX
01
—
45D2171662
CLIA
TX
01
—
971551
PTAN
TX
Enumeration date
06/22/2017
Last updated
09/26/2024
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