Provider Demographics
NPI:1407695125
Name:HUMMINGBIRD HOSPICE EAST LLC
Entity type:Organization
Organization Name:HUMMINGBIRD HOSPICE EAST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROY
Authorized Official - Middle Name:JARETH
Authorized Official - Last Name:LACKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-908-9774
Mailing Address - Street 1:8420 GREENBRIER
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-2009
Mailing Address - Country:US
Mailing Address - Phone:210-908-9774
Mailing Address - Fax:
Practice Address - Street 1:8420 GREENBRIER
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-2009
Practice Address - Country:US
Practice Address - Phone:210-908-9774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care