Provider Demographics
NPI:1174992994
Name:HEART OF TEXAS HOSPICE-HILL COUNTRY LLC
Entity type:Organization
Organization Name:HEART OF TEXAS HOSPICE-HILL COUNTRY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:BOOTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-730-7711
Mailing Address - Street 1:18568 FORTY SIX PKWY STE 2001
Mailing Address - Street 2:
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-6878
Mailing Address - Country:US
Mailing Address - Phone:254-313-9840
Mailing Address - Fax:210-568-6524
Practice Address - Street 1:1604 S W S YOUNG DR FL 1
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76543-5003
Practice Address - Country:US
Practice Address - Phone:254-313-9840
Practice Address - Fax:254-320-0078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-22
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based