Provider Demographics
NPI:1245902899
Name:CFHC NO4 INC
Entity type:Organization
Organization Name:CFHC NO4 INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAPOUR
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-272-0233
Mailing Address - Street 1:2425 BABCOCK RD.
Mailing Address - Street 2:STE 102
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-272-0233
Mailing Address - Fax:210-272-0301
Practice Address - Street 1:2425 BABCOCK RD STE 102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4899
Practice Address - Country:US
Practice Address - Phone:210-272-0233
Practice Address - Fax:210-272-0301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-01
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based