MEDICARE: SOUTH TEXAS HOSPICE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1003792201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH TEXAS HOSPICE LLC

Provider Business Mailing Address
First Line	:	4100 E PIEDRAS DR STE 268
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1426
Country	:	US
Telephone Number	:	210-607-3747
Fax Number	:

Provider Business Practice Location Address
First Line	:	4100 E PIEDRAS DR STE 268
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1426
Country	:	US
Telephone Number	:	210-607-3747
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELIZABETH VASILOU
Credential	:
Telephone Number	:	210-607-3747

Provider Enumeration Date	:	08/13/2025
Last Update Date	:	01/22/2026

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Directions to “SOUTH TEXAS HOSPICE LLC ” Practice Location

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