Healthcare Provider Details

I. General information

NPI: 1013418797
Provider Name (Legal Business Name): RGV HOSPICE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2018
Last Update Date: 09/27/2021
Certification Date: 10/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2625 N JOSEY LN STE 301
CARROLLTON TX
75007-5546
US

IV. Provider business mailing address

4525 WILSHIRE BLVD STE 210
LOS ANGELES CA
90010-3846
US

V. Phone/Fax

Practice location:
  • Phone: 469-833-3373
  • Fax: 469-643-1960
Mailing address:
  • Phone: 214-543-6581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateTX

VIII. Authorized Official

Name: MR. DAVID GARETZ
Title or Position: CFO
Credential:
Phone: 213-395-1848