Organization Active NPI

Mission Hospice Care LLC

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1295294056
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MISSION HOSPICE CARE LLC
Practice address
4242 Medical Dr Ste 6250
San Antonio, TX 78229-5705
Phone
(210) 771-5622
NPI assigned
Mar 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Cavazos
Title
Owner
Phone
(210) 771-5622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

4242 Medical Dr Ste 6250
San Antonio, TX 78229-5705

Mailing address

4242 Medical Dr Ste 6250
San Antonio, TX 78229-5705
Phone (210) 771-5622

National Provider Directory

National Provider Directory

Locations

4242 Medical Dr
Ste 6250
San Antonio, TX 78229
Phone (210) 479-3297

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1295294056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 MEDICAL DR STE 6250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295705",
            "telephone_number": "210-771-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 MEDICAL DR STE 6250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295705",
            "telephone_number": "210-771-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "CAVAZOS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-771-5622"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.