| Organization Name: | COSMOS HOSPICE OF SAN ANTONIO, LLC |
| NPI Number: | 1467621078 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JESSICA KLEBERG (VP LEGAL AFFAIRS) |
| Mailing Address: | 8207 Callgahan Rd. Suite 353 San Antonio |
| State: | TX US |
| Postal Code: | 782304735 |
| Phone Number: | 2105207734 |
| Fax Number: | 2105207737 |
| NPI Enumeration Date: | 02/27/2008 |
| NPI Last Update Date: | 02/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |