Healthcare Provider Details

I. General information

NPI: 1902843527
Provider Name (Legal Business Name): HOSPICE PREFERRED CHOICE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 04/02/2020
Certification Date: 04/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 EAGLEVIEW BLVD STE 108
EXTON PA
19341-1190
US

IV. Provider business mailing address

415 EAGLEVIEW BLVD STE 108
EXTON PA
19341-1190
US

V. Phone/Fax

Practice location:
  • Phone: 610-321-2701
  • Fax:
Mailing address:
  • Phone: 610-321-2701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1007726640014
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer
# 2
Identifier100772664-0024
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: HOLLY RASMUSSEN-JONES
Title or Position: SECRETARY
Credential:
Phone: 479-201-4835