National Provider Identifier Database

CHARTER HEALTHCARE OF SAN ANTONIO LLC
Hospice Care, Community Based


Contact Information

CHARTER HEALTHCARE OF SAN ANTONIO, LLC
2819 NW LOOP 410 STE C
SAN ANTONIO, TX78230
Phone: 210-979-9933
Fax: 210-979-9932
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for CHARTER HEALTHCARE OF SAN ANTONIO, LLC

NPI Number 1215286547
Legal business name
LBN
CHARTER HEALTHCARE OF SAN ANTONIO, LLC
Authorized official SYLVIE BOAL - (CORPORATE COUNSEL)
Entity Organization
Organization subpart No
Enumeration date 08/31/2012
Last updated 09/10/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • TX Medicaid: 111751704

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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