Organization Active NPI

Marigold Hospice LLC

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1952063034
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MARIGOLD HOSPICE LLC
Practice address
114 Surrey Ave
San Antonio, TX 78225-2442
Phone
(210) 792-6048
NPI assigned
Oct 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Mr. J Ramiro Moya
Title
Registered Agent
Phone
(210) 792-6048

Specialties & licenses 1

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

Addresses

Primary practice location

114 Surrey Ave
San Antonio, TX 78225-2442

Mailing address

114 Surrey Ave
San Antonio, TX 78225-2442

National Provider Directory

National Provider Directory

Locations

114 Surrey Ave
San Antonio, TX 78225
Phone (210) 792-6048

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1952063034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 SURREY AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782252442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SURREY AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782252442",
            "telephone_number": "210-792-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIGOLD HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "MOYA",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "RAMIRO",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "210-792-6048",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Oct 6, 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.