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NPI Code Detail

MEDICARE: BURKE HOSPICE AND PALLIATIVE CARE, INC.

MEDICARE: BURKE HOSPICE AND PALLIATIVE CARE, 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 AgencyHOS0364NC

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 : 1942262639
Entity Type Code : Organization
Provider Name (Legal Business Name) : BURKE HOSPICE AND PALLIATIVE CARE, INC.
Provider Business Mailing Address
First Line : 1721 ENON RD
Second Line :
City : VALDESE
State : NC
Zip : 28690-9314
Country : US
Telephone Number : 828-879-1601
Fax Number : 828-879-3500
Provider Business Practice Location Address
First Line : 1721 ENON RD
Second Line :
City : VALDESE
State : NC
Zip : 28690-9314
Country : US
Telephone Number : 828-879-1601
Fax Number : 828-879-3500
Authorized Official
Title or Position : CEO
Name : MR. RON LASALLE
Credential : RN BSN MBA
Telephone Number : 828-879-1601
Provider Enumeration Date : 04/06/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

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Practice Location Address:
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1972564466 — RAYMOND A AZBELL II MD
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720 MALCOLM BLVD
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1477515369 — DR. RAUL H LUPIA MD
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1144282039 — DR. PAULA GRUENSFELDER REYNOLDS D.C.
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Directions to “BURKE HOSPICE AND PALLIATIVE CARE, INC. ” Practice Location

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