MEDICARE: HEART TO HEART HOSPICE OF SAN MARCOS, 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114283447
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART TO HEART HOSPICE OF SAN MARCOS, LLC

Provider Business Mailing Address
First Line	:	7240 CHASE OAKS BLVD
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-5901
Country	:	US
Telephone Number	:	972-517-6300
Fax Number	:	972-517-3610

Provider Business Practice Location Address
First Line	:	1340 WONDER WORLD DR STE 2200
Second Line	:
City	:	SAN MARCOS
State	:	TX
Zip	:	78666-7791
Country	:	US
Telephone Number	:	512-667-6816
Fax Number	:	512-667-6823

Authorized Official
Title or Position	:	MANAGER
Name	:	KELLY O MITCHELL
Credential	:
Telephone Number	:	972-517-6300

Provider Enumeration Date	:	04/11/2012
Last Update Date	:	06/04/2025

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