=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104211481
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CENTER FOR HOPE HOSPICE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/02/2015
-----------------------------------------------------
Last Update Date | 04/02/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1900 RARITAN RD
-----------------------------------------------------
City | SCOTCH PLAINS
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07076-2963
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-288-9138
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1900 RARITAN RD
-----------------------------------------------------
City | SCOTCH PLAINS
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07076-2963
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BILLING MANAGER
-----------------------------------------------------
Name | STEVE LIU
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 908-288-9138
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310400000X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility
-----------------------------------------------------
License Number | 20C101
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------