Healthcare Provider Details

I. General information

NPI: 1508895350
Provider Name (Legal Business Name): ASPERION HOSPICE OF SAN ANTONIO LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 06/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4242 E PIEDRAS DR STE 108
SAN ANTONIO TX
78228
US

IV. Provider business mailing address

10 CADILLAC DR SUITE 400
BRENTWOOD TN
37027-5078
US

V. Phone/Fax

Practice location:
  • Phone: 210-731-0505
  • Fax: 210-731-0223
Mailing address:
  • Phone: 615-425-5407
  • Fax: 615-373-4457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number010026
License Number StateTX

VIII. Authorized Official

Name: RUSSELL ADKINS
Title or Position: SVP GENERAL COUNSEL
Credential:
Phone: 615-309-5668