Provider Demographics
NPI:1962834770
Name:HARBOR HOSPICE OF CENTRAL SAN ANTONIO LP
Entity type:Organization
Organization Name:HARBOR HOSPICE OF CENTRAL SAN ANTONIO LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXEC ADMIN ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-730-2046
Mailing Address - Street 1:3406 COLLEGE ST STE 200
Mailing Address - Street 2:ATTN LEGAL DEPT
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-4612
Mailing Address - Country:US
Mailing Address - Phone:409-730-2006
Mailing Address - Fax:409-838-7598
Practice Address - Street 1:15714 HUEBNER RD STE 2B3
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-0996
Practice Address - Country:US
Practice Address - Phone:210-481-0500
Practice Address - Fax:210-481-0504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-02
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based