Healthcare Provider Details

I. General information

NPI: 1720131543
Provider Name (Legal Business Name): THE 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: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 SUNNYBROOK CT
SOUTH BEND IN
46637-3437
US

IV. Provider business mailing address

111 SUNNYBROOK CT
SOUTH BEND IN
46637-3437
US

V. Phone/Fax

Practice location:
  • Phone: 574-243-3100
  • Fax: 574-243-3134
Mailing address:
  • Phone: 574-243-3100
  • Fax: 574-243-3134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number060059341
License Number StateIN

VIII. Authorized Official

Name: MR. MARK M MURRAY
Title or Position: PRESIDENT CEO
Credential:
Phone: 574-243-3100