Provider Demographics
NPI:1528617271
Name:DEVOTED CARE HOSPICE, INC.
Entity type:Organization
Organization Name:DEVOTED CARE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARRELL
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-886-8020
Mailing Address - Street 1:1370 PANTHEON WAY STE 190
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-2296
Mailing Address - Country:US
Mailing Address - Phone:210-886-8020
Mailing Address - Fax:210-886-8021
Practice Address - Street 1:1380 PANTHEON WAY STE 115
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-2288
Practice Address - Country:US
Practice Address - Phone:210-886-8020
Practice Address - Fax:210-886-8021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based