Provider Demographics
NPI:1649763517
Name:FOUR WINDS HOSPICE, INC
Entity type:Organization
Organization Name:FOUR WINDS HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR/ALT. DON
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMANZA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-239-7719
Mailing Address - Street 1:4400 S PIEDRAS DR STE 215
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1223
Mailing Address - Country:US
Mailing Address - Phone:210-239-7719
Mailing Address - Fax:210-817-8615
Practice Address - Street 1:4400 S PIEDRAS DR STE 215
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1223
Practice Address - Country:US
Practice Address - Phone:210-239-7719
Practice Address - Fax:210-817-8615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-14
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based