Provider Demographics
NPI:1730890062
Name:ST. JOSEPH'S HOSPICE CARE LLC
Entity type:Organization
Organization Name:ST. JOSEPH'S HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DELMA
Authorized Official - Middle Name:H
Authorized Official - Last Name:CHAVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW
Authorized Official - Phone:432-661-4742
Mailing Address - Street 1:30 VILLAGE CIR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-6345
Mailing Address - Country:US
Mailing Address - Phone:432-684-5858
Mailing Address - Fax:432-684-4423
Practice Address - Street 1:30 VILLAGE CIR
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-6345
Practice Address - Country:US
Practice Address - Phone:432-684-5858
Practice Address - Fax:432-684-4423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-07
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based