Provider Demographics
NPI:1093205189
Name:BLUE HORIZONS HOSPICE
Entity type:Organization
Organization Name:BLUE HORIZONS HOSPICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:ANGELICA
Authorized Official - Last Name:LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:210-780-7489
Mailing Address - Street 1:8 DOMINION DR UNIT 107
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78257-1315
Mailing Address - Country:US
Mailing Address - Phone:210-780-7489
Mailing Address - Fax:210-780-7489
Practice Address - Street 1:8 DOMINION DR UNIT 107
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78257-1315
Practice Address - Country:US
Practice Address - Phone:210-780-7489
Practice Address - Fax:210-780-7489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-14
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based