MEDICARE: TOMORROWS CROSSING HOSPICE 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	251G00000X	Community Based Hospice Care Agency	16771601	PA

General Provider Information

NPI Number	:	1093762239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOMORROWS CROSSING HOSPICE INC

Provider Business Mailing Address
First Line	:	1258 PRATT ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-1809
Country	:	US
Telephone Number	:	215-288-4911
Fax Number	:	215-288-4991

Provider Business Practice Location Address
First Line	:	1258 PRATT ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-1809
Country	:	US
Telephone Number	:	215-288-4911
Fax Number	:	215-288-4991

Authorized Official
Title or Position	:	CHEIF FINANCIAL OFFICER
Name	:	RAYMOND LERRO
Credential	:
Telephone Number	:	267-246-8849

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	08/22/2020

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