MEDICARE: MY HOME HOSPICE COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1437850864
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY HOME HOSPICE COMPANY

Provider Business Mailing Address
First Line	:	9502 COMPUTER DR STE 116
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-2383
Country	:	US
Telephone Number	:	210-430-8316
Fax Number	:

Provider Business Practice Location Address
First Line	:	9502 COMPUTER DR STE 116
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-2383
Country	:	US
Telephone Number	:	210-430-8316
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROSA SUMEGA
Credential	:	RN
Telephone Number	:	210-430-8316

Provider Enumeration Date	:	03/13/2023
Last Update Date	:	03/13/2023

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Directions to “MY HOME HOSPICE COMPANY ” Practice Location

Language	Start Address	Practice Location

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