MEDICARE: RICHMOND COUNTY 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
1	251G00000X	Community Based Hospice Care Agency	HC0424	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0022R	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1619977170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHMOND COUNTY HOSPICE INC

Provider Business Mailing Address
First Line	:	1119 N. US HWY 1
Second Line	:
City	:	ROCKINGHAM
State	:	NC
Zip	:	28379
Country	:	US
Telephone Number	:	910-997-4464
Fax Number	:	910-997-4484

Provider Business Practice Location Address
First Line	:	1119 N. US HIGHWAY 1
Second Line	:
City	:	ROCKINGHAM
State	:	NC
Zip	:	28379
Country	:	US
Telephone Number	:	910-997-4464
Fax Number	:	910-997-4484

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE
Name	:	MARVIN TAYLOR
Credential	:
Telephone Number	:	910-997-4464

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	04/10/2024

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Directions to “RICHMOND COUNTY HOSPICE INC ” Practice Location

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