Healthcare Provider Details

I. General information

NPI: 1841343472
Provider Name (Legal Business Name): CENTER FOR HOSPICE AND PALLIATIVE CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 COMFORT PL
MISHAWAKA IN
46545-5234
US

IV. Provider business mailing address

501 COMFORT PL
MISHAWAKA IN
46545-5234
US

V. Phone/Fax

Practice location:
  • Phone: 574-243-3100
  • Fax: 574-217-4874
Mailing address:
  • Phone: 574-243-3100
  • Fax: 574-217-4874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number060052791
License Number StateIN

VIII. Authorized Official

Name: MS. SARI J MOORE
Title or Position: COMMERCIAL BILLING REP
Credential:
Phone: 574-367-2458