Provider Demographics
NPI:1346890449
Name:CAYLOR HOSPICE LLC
Entity type:Organization
Organization Name:CAYLOR HOSPICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:WREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-349-6933
Mailing Address - Street 1:1100 NE LOOP 410 STE 706
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-1537
Mailing Address - Country:US
Mailing Address - Phone:210-874-4999
Mailing Address - Fax:210-796-3049
Practice Address - Street 1:1100 NE LOOP 410 STE 706
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-1537
Practice Address - Country:US
Practice Address - Phone:210-874-4999
Practice Address - Fax:210-874-4888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based