Healthcare Provider Details

I. General information

NPI: 1033155700
Provider Name (Legal Business Name): CIMA HOSPICE OF SAN ANTONIO, L.P.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7550 W IH 10 STE 710
SAN ANTONIO TX
78229-5803
US

IV. Provider business mailing address

3010 LYNDON B JOHNSON FWY STE 1100
DALLAS TX
75234-2712
US

V. Phone/Fax

Practice location:
  • Phone: 210-561-5522
  • Fax: 210-579-7804
Mailing address:
  • Phone: 800-379-1600
  • Fax: 903-537-8420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number010496
License Number StateTX

VIII. Authorized Official

Name: KATIE MONASTIERE
Title or Position: COMPLIANCE PRIVACY&SAFETY OFFICER
Credential:
Phone: 800-379-1600