MEDICARE: HOSPICE OF AVERY COUNTY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH1000X	Hospice Registered Nurse	HOS0363	NC

General Provider Information

NPI Number	:	1013914506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE OF AVERY COUNTY, INC

Provider Business Mailing Address
First Line	:	PO BOX 1357
Second Line	:
City	:	NEWLAND
State	:	NC
Zip	:	28657-1357
Country	:	US
Telephone Number	:	828-733-0663
Fax Number	:	828-733-0375

Provider Business Practice Location Address
First Line	:	351 WEST MITCHELL ST
Second Line	:
City	:	NEWLAND
State	:	NC
Zip	:	28657-1357
Country	:	US
Telephone Number	:	828-733-0663
Fax Number	:	828-733-0375

Authorized Official
Title or Position	:	FINANCIAL MANAGER
Name	:	MS. LINDSAY S DOWNING
Credential	:
Telephone Number	:	828-733-0663

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	08/22/2020

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