Healthcare Provider Details

I. General information

NPI: 1225017759
Provider Name (Legal Business Name): HOSPICE OF THE PIEDMONT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 06/08/2021
Certification Date: 06/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 WESTCHESTER DR
HIGH POINT NC
27262-7009
US

IV. Provider business mailing address

1801 WESTCHESTER DR
HIGH POINT NC
27262-7009
US

V. Phone/Fax

Practice location:
  • Phone: 336-889-8446
  • Fax: 336-889-3450
Mailing address:
  • Phone: 336-889-8446
  • Fax: 336-889-3450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License NumberHOS1581
License Number StateNC

VIII. Authorized Official

Name: MR. BARRY LEONARD
Title or Position: CHIEF FINANCIAL OFFICER
Credential: CPA
Phone: 336-889-8446