MEDICARE: COMPANION HOSPICE AND PALLIATIVE CARE OF SOUTH TEXAS, 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	:	1316327950
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPANION HOSPICE AND PALLIATIVE CARE OF SOUTH TEXAS, LLC

Provider Business Mailing Address
First Line	:	500 N STATE COLLEGE BLVD STE 1250
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-6616
Country	:	US
Telephone Number	:	714-741-0273
Fax Number	:	714-534-0998

Provider Business Practice Location Address
First Line	:	3201 CHERRY RIDGE DR STE C300
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78230-4826
Country	:	US
Telephone Number	:	855-320-5552
Fax Number	:	855-321-5552

Authorized Official
Title or Position	:	EXECUTIVE ASSISTANT TO CEO
Name	:	JUDITH LAURENA KING-COLE
Credential	:
Telephone Number	:	714-741-0273

Provider Enumeration Date	:	06/08/2015
Last Update Date	:	10/16/2023

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