Provider Demographics
NPI:1265913644
Name:PRINCIPLE HOSPICE SERVICE LLC
Entity type:Organization
Organization Name:PRINCIPLE HOSPICE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARANGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-227-8787
Mailing Address - Street 1:9033 AERO ST STE 204B
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-6333
Mailing Address - Country:US
Mailing Address - Phone:210-455-6050
Mailing Address - Fax:
Practice Address - Street 1:9033 AERO ST STE 204B
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-6333
Practice Address - Country:US
Practice Address - Phone:210-455-6050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-23
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based