MEDICARE: DIGNITY & HOPE HOSPICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1164262275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIGNITY & HOPE HOSPICE

Provider Business Mailing Address
First Line	:	802 E 86TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-1806
Country	:	US
Telephone Number	:	317-460-4808
Fax Number	:	463-248-5379

Provider Business Practice Location Address
First Line	:	802 E 86TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-1806
Country	:	US
Telephone Number	:	317-460-4808
Fax Number	:	463-248-5379

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. JERILYN MCCULLOUGH-GOODING
Credential	:	HFA, CDP
Telephone Number	:	317-460-4808

Provider Enumeration Date	:	05/28/2024
Last Update Date	:	05/28/2024

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Directions to “DIGNITY & HOPE HOSPICE ” Practice Location

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