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NPI Code Detail

MEDICARE: HOSPICE OF HENDERSON COUNTY, INC.

MEDICARE: HOSPICE OF HENDERSON COUNTY, INC.
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
1251G00000XCommunity Based Hospice Care AgencyHOS0386NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
22328856OTHERMEDICARE GROUP #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4022JOTHERNCBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1275524621
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOSPICE OF HENDERSON COUNTY, INC.
Provider Business Mailing Address
First Line : 571 S ALLEN RD
Second Line :
City : FLAT ROCK
State : NC
Zip : 28731-9447
Country : US
Telephone Number : 828-692-6178
Fax Number : 828-233-0355
Provider Business Practice Location Address
First Line : 571 S ALLEN RD
Second Line :
City : FLAT ROCK
State : NC
Zip : 28731-9447
Country : US
Telephone Number : 828-692-6178
Fax Number : 828-233-0350
Authorized Official
Title or Position : CEO
Name : MRS. MILLICENT GRACE BURKE-SINCLAIR
Credential :
Telephone Number : 828-692-6178
Provider Enumeration Date : 11/03/2005
Last Update Date : 12/28/2024

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Directions to “HOSPICE OF HENDERSON COUNTY, INC. ” Practice Location

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