Provider Demographics
NPI:1780157206
Name:EPIC HOSPICE CARE LLC #2
Entity type:Organization
Organization Name:EPIC HOSPICE CARE LLC #2
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-994-5388
Mailing Address - Street 1:8600 WURZBACH RD STE I
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-4330
Mailing Address - Country:US
Mailing Address - Phone:210-994-5388
Mailing Address - Fax:210-796-3049
Practice Address - Street 1:8600 WURZBACH RD STE I
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-4330
Practice Address - Country:US
Practice Address - Phone:210-994-5388
Practice Address - Fax:210-255-3105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-08
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based