Provider Demographics
NPI:1215420187
Name:NOSOTROS HOSPICE, INC.
Entity type:Organization
Organization Name:NOSOTROS HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUMEGA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-239-7598
Mailing Address - Street 1:2819 NW LOOP 410 STE E
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5105
Mailing Address - Country:US
Mailing Address - Phone:210-239-7598
Mailing Address - Fax:210-817-8613
Practice Address - Street 1:2819 NW LOOP 410 STE E
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-5105
Practice Address - Country:US
Practice Address - Phone:210-239-7598
Practice Address - Fax:210-817-8613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-14
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based