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NPI Code Detail

MEDICARE: CARESTAT HOSPICE, LLC

MEDICARE: CARESTAT 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
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1497218234
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARESTAT HOSPICE, LLC
Provider Business Mailing Address
First Line : 13330 LEOPARD ST STE 20
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78410-4479
Country : US
Telephone Number : 361-242-3004
Fax Number : 361-242-3006
Provider Business Practice Location Address
First Line : 13330 LEOPARD ST STE 20
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78410-4479
Country : US
Telephone Number : 361-242-3004
Fax Number : 361-242-3006
Authorized Official
Title or Position : OWNER
Name : MR. OSCAR BARRERA
Credential :
Telephone Number : 361-242-3004
Provider Enumeration Date : 04/09/2019
Last Update Date : 06/10/2020

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Directions to “CARESTAT HOSPICE, LLC ” Practice Location

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