MEDICARE: FOUR WINDS HOSPICE, INC

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	:	1649763517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOUR WINDS HOSPICE, INC

Provider Business Mailing Address
First Line	:	4400 S PIEDRAS DR STE 215
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1223
Country	:	US
Telephone Number	:	210-239-7719
Fax Number	:	210-817-8615

Provider Business Practice Location Address
First Line	:	4400 S PIEDRAS DR STE 215
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-1223
Country	:	US
Telephone Number	:	210-239-7719
Fax Number	:	210-817-8615

Authorized Official
Title or Position	:	CEO/ADMINISTRATOR/ALT. DON
Name	:	DIANA ALMANZA
Credential	:	RN
Telephone Number	:	210-239-7719

Provider Enumeration Date	:	06/14/2018
Last Update Date	:	10/16/2023

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