MEDICARE: AMOR MIO HOSPICE L.L.C.

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	:	1891223632
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMOR MIO HOSPICE L.L.C.

Provider Business Mailing Address
First Line	:	2544 CENTRAL PALM DR STE 106B
Second Line	:
City	:	RIO GRANDE CITY
State	:	TX
Zip	:	78582-6667
Country	:	US
Telephone Number	:	956-487-0151
Fax Number	:

Provider Business Practice Location Address
First Line	:	2544 CENTRAL PALM DR STE 106B
Second Line	:
City	:	RIO GRANDE CITY
State	:	TX
Zip	:	78582-6667
Country	:	US
Telephone Number	:	956-487-0151
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALVARO PENA
Credential	:
Telephone Number	:	956-487-0151

Provider Enumeration Date	:	05/24/2017
Last Update Date	:	07/21/2022

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