1033155700 NPI number — CIMA HOSPICE OF SAN ANTONIO, L.P.

Table of content: (NPI 1033155700)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033155700 NPI number — CIMA HOSPICE OF SAN ANTONIO, L.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CIMA HOSPICE OF SAN ANTONIO, L.P.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ELARA CARING
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033155700
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/16/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3010 LYNDON B JOHNSON FWY STE 1100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75234-2712
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-379-1600
Provider Business Mailing Address Fax Number:
903-537-8420

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7550 W IH 10 STE 710
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78229-5803
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-561-5522
Provider Business Practice Location Address Fax Number:
210-561-5633
Provider Enumeration Date:
06/21/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MONASTIERE
Authorized Official First Name:
KATIE
Authorized Official Middle Name:
Authorized Official Title or Position:
COMPLIANCE AND PRIVACY OFFICER
Authorized Official Telephone Number:
800-379-1600

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X , with the licence number:  010496 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 001014660 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".