=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619398369
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ATTENTIVE HOSPICE INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/25/2013
-----------------------------------------------------
Last Update Date | 12/25/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 911 RACE ST 3A
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19107-1805
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-385-2778
-----------------------------------------------------
Fax | 215-627-2402
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 911 RACE ST 3A
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19107-1805
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-385-2778
-----------------------------------------------------
Fax | 215-627-2402
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MRS. SHUPING HOU
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 215-385-2778
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------