Provider Demographics
NPI:1861957912
Name:GIFTED HEARTS HOSPICE LLC
Entity type:Organization
Organization Name:GIFTED HEARTS HOSPICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CYRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:OWUSU-BOAKYE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-876-2750
Mailing Address - Street 1:108 E COURT ST
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-5704
Mailing Address - Country:US
Mailing Address - Phone:830-715-9299
Mailing Address - Fax:830-715-9302
Practice Address - Street 1:108 E COURT ST
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-5704
Practice Address - Country:US
Practice Address - Phone:830-715-9299
Practice Address - Fax:830-715-9302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-03
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community BasedGroup - Multi-Specialty
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Multi-Specialty