Provider Demographics
NPI:1982986873
Name:HOAGLAND & SCIBA I, LLC
Entity type:Organization
Organization Name:HOAGLAND & SCIBA I, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES DAVID
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:HOAGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1855-485-2220
Mailing Address - Street 1:19655 US HIGHWAY 77 N
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-5507
Mailing Address - Country:US
Mailing Address - Phone:855-485-2220
Mailing Address - Fax:888-625-4406
Practice Address - Street 1:11104 W AIRPORT BLVD
Practice Address - Street 2:SUITE 144
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3035
Practice Address - Country:US
Practice Address - Phone:855-485-2220
Practice Address - Fax:888-625-4406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-15
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health