Healthcare Provider Details

I. General information

NPI: 1073005385
Provider Name (Legal Business Name): VARA HOSPICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2018
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 E SAN PEDRO ST STE 102
LAREDO TX
78041-5479
US

IV. Provider business mailing address

203 SABAL LOOP
LAREDO TX
78045-5015
US

V. Phone/Fax

Practice location:
  • Phone: 833-663-8271
  • Fax: 833-663-8272
Mailing address:
  • Phone: 833-663-8271
  • Fax: 833-663-8272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JOSE A. ALVARADO
Title or Position: OWNER/PRESIDENT
Credential: DNP, FNP-C
Phone: 833-663-8271