Holy Savior Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HOLY SAVIOR HOSPICE LLC

Doing business as

Holy Savior Hospice

Practice address

504 Hospital Dr Ste C
Carrizo Springs, TX 78834-3847

Phone

(210) 375-5914

NPI assigned

Feb 18, 2021

Last updated

Feb 18, 2021By 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

Kyle Smith

Title

Ceo/Owner

Phone

(817) 751-4082

Specialties & licenses 1

Addresses

Other names 1

• Holy Savior Hospice Doing business as

Locations

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1841883998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 HOSPITAL DR STE C",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788343847",
            "telephone_number": "210-375-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 HOSPITAL DR STE C",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788343847",
            "telephone_number": "210-375-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY SAVIOR HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "817-751-4082"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Savior Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Graciano, MSN, APRN, FNP-BC
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• Richard Joseph Haley, DDS BA
• James T. Havalda, M.D.
• Juan Hernandez III
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• Ockju Jung, FNP
• Sherry Baldwin Kolinek
• Longxiang Kuang
• Linda Kay Lewis, FNP

• Community Based Hospice Care Agency in Carrizo Springs, TX
• Providers in Carrizo Springs, 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 Feb 18, 2021; 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.