Healthcare Provider Details

I. General information

NPI: 1184711301
Provider Name (Legal Business Name): CALDWELL HOSPICE AND PALLIATIVE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2006
Last Update Date: 05/30/2024
Certification Date: 05/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 KIRKWOOD AVE NW
LENOIR NC
28645-5121
US

IV. Provider business mailing address

902 KIRKWOOD AVE NW
LENOIR NC
28645-5121
US

V. Phone/Fax

Practice location:
  • Phone: 828-754-0101
  • Fax:
Mailing address:
  • Phone: 828-754-0101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number0140032999
License Number StateNC

VIII. Authorized Official

Name: MS. EDITH S RIDDLESPURGER
Title or Position: INTERIM CEO
Credential:
Phone: 828-754-0101