Healthcare Provider Details
I. General information
NPI: 1982425526
Provider Name (Legal Business Name): HOSPICE OF THE PLAINS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/17/2024
Last Update Date: 10/17/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
721 W MAIN ST
STERLING CO
80751-2965
US
IV. Provider business mailing address
302 N 9TH AVE
STERLING CO
80751-2812
US
V. Phone/Fax
- Phone: 970-740-6080
- Fax:
- Phone: 970-526-7901
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BP3500X |
| Taxonomy | Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TIFFANY
STORCH
Title or Position: CEO
Credential:
Phone: 970-526-7901