Healthcare Provider Details

I. General information

NPI: 1649916982
Provider Name (Legal Business Name): HOSPICE OF THE PLAINS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2022
Last Update Date: 10/14/2022
Certification Date: 08/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 OSAGE ST STE 1
SIDNEY NE
69162-1711
US

IV. Provider business mailing address

100 BROADWAY ST STE 1A
STERLING CO
80751-2706
US

V. Phone/Fax

Practice location:
  • Phone: 308-203-4065
  • Fax: 308-203-4064
Mailing address:
  • Phone: 970-526-7901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY STORCH
Title or Position: ADMINISTRATOR/EXECUTIVE DIRECTOR
Credential: RN
Phone: 970-526-7901