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SUPERIOR HOSPICE OF DEL RIO LLC NPI 1679851596


NPI Information

NPI: 1679851596
Provider Name: SUPERIOR HOSPICE OF DEL RIO LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 45D2028475

Address:
159 BRADDIE DR STE 1-A
DEL RIO, TX
ZIP 78840
Phone: (830) 775-7102
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SUPERIOR HOSPICE OF DEL RIO LLC is a hospice care community based in Del Rio, TX. SUPERIOR HOSPICE OF DEL RIO LLC NPI is 1679851596. The provider is registered as an organization entity type.

The provider's business location address is:

159 BRADDIE DR STE 1-A
DEL RIO, TX
ZIP 78840-159
Phone: (830) 775-7102
Fax: (830) 774-7282

The provider's authorized official is Belinda Juarez .
The authorized official title is Owner and has the following contact phone number (210) 558-7710.

The CLIA number assigned to this NPI record is 45D2028475 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2011 and was last updated on 2/22/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251G00000XHospice Care, Community BasedYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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