My Own Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

016320 Issued in TX

Legal business name

MY OWN HOSPICE

Practice address

5460 Babcock Rd Ste 120
San Antonio, TX 78240-3905

Phone

(210) 643-7098

Fax

(888) 696-3440

NPI assigned

Aug 30, 2016

Last updated

Aug 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hector Guerraa, MD

Title

Owner

Phone

(210) 643-7098

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1588110514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 BABCOCK RD STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403905",
            "telephone_number": "210-643-7098",
            "fax_number": "888-696-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 BABCOCK RD STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403905",
            "telephone_number": "210-643-7098",
            "fax_number": "888-696-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY OWN HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "GUERRAA",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-643-7098",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "016320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Julie Ann Mydland, RN

• Community Based Hospice Care Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.