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NPI Code Detail

MEDICARE: THE CONNECTICUT HOSPICE, INC

MEDICARE: THE CONNECTICUT HOSPICE, 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
1251E00000XHome Health AgencyC846210HCT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396754255
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE CONNECTICUT HOSPICE, INC
Provider Business Mailing Address
First Line : 100 DOUBLE BEACH RD
Second Line :
City : BRANFORD
State : CT
Zip : 06405-4909
Country : US
Telephone Number : 203-315-7500
Fax Number : 203-315-7614
Provider Business Practice Location Address
First Line : 100 DOUBLE BEACH RD
Second Line :
City : BRANFORD
State : CT
Zip : 06405-4909
Country : US
Telephone Number : 203-315-7500
Fax Number : 203-315-7614
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MARY ROSE GILHULY
Credential :
Telephone Number : 203-315-7633
Provider Enumeration Date : 08/07/2006
Last Update Date : 01/10/2025

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Directions to “THE CONNECTICUT HOSPICE, INC ” Practice Location

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