Provider Demographics
NPI:1316327950
Name:COMPANION HOSPICE AND PALLIATIVE CARE OF SOUTH TEXAS, LLC
Entity type:Organization
Organization Name:COMPANION HOSPICE AND PALLIATIVE CARE OF SOUTH TEXAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ASSISTANT TO CEO
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:LAURENA
Authorized Official - Last Name:KING-COLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-741-0273
Mailing Address - Street 1:500 N STATE COLLEGE BLVD STE 1250
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-6616
Mailing Address - Country:US
Mailing Address - Phone:714-741-0273
Mailing Address - Fax:714-534-0998
Practice Address - Street 1:3201 CHERRY RIDGE DR STE C300
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-4826
Practice Address - Country:US
Practice Address - Phone:855-320-5552
Practice Address - Fax:855-321-5552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-08
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based