Provider Demographics
NPI:1568984110
Name:LAREDO GENTLE HANDS HOSPICE CARE LLC
Entity type:Organization
Organization Name:LAREDO GENTLE HANDS HOSPICE CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:ALICIA
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-334-7937
Mailing Address - Street 1:242 VINTAGE LN
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-9101
Mailing Address - Country:US
Mailing Address - Phone:956-334-7937
Mailing Address - Fax:956-269-2279
Practice Address - Street 1:313 W VILLAGE BLVD STE 3
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-2348
Practice Address - Country:US
Practice Address - Phone:956-334-7937
Practice Address - Fax:956-269-2279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-14
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based