Healthcare Provider Details

I. General information

NPI: 1588096580
Provider Name (Legal Business Name): CIMA HOSPICE OF SAN ANTONIO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2013
Last Update Date: 08/09/2022
Certification Date: 08/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12450 NETWORK BLVD SUITE 300
SAN ANTONIO TX
78249-3341
US

IV. Provider business mailing address

5050 FREDERICKSBURG RD APT 103
SAN ANTONIO TX
78229-3648
US

V. Phone/Fax

Practice location:
  • Phone: 210-561-5522
  • Fax: 210-561-5633
Mailing address:
  • Phone: 210-313-5264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number663534
License Number StateTX

VIII. Authorized Official

Name: MR. STEVE JAUBERT
Title or Position: NURSE PRACTITIONER
Credential: FNP-BC
Phone: 210-313-5264