Healthcare Provider Details

I. General information

NPI: 1538271671
Provider Name (Legal Business Name): HOSPICE OF ALAMANCE CASWELL FOUNDATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 CHAPEL HILL RD
BURLINGTON NC
27215-6715
US

IV. Provider business mailing address

914 CHAPEL HILL RD
BURLINGTON NC
27215-6715
US

V. Phone/Fax

Practice location:
  • Phone: 336-532-0100
  • Fax:
Mailing address:
  • Phone: 336-532-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License NumberHOS1136
License Number StateNC

VIII. Authorized Official

Name: MR. PETER BARCUS
Title or Position: EXECUTIVE DIRECTOR
Credential: MHA
Phone: 336-532-0100