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NPI Code Detail

MEDICARE: MADRONA HOSPICE CARE INC

MEDICARE: MADRONA HOSPICE CARE 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
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1326896846
Entity Type Code : Organization
Provider Name (Legal Business Name) : MADRONA HOSPICE CARE INC
Provider Business Mailing Address
First Line : 375 N STEPHANIE ST STE 1011
Second Line :
City : HENDERSON
State : NV
Zip : 89014-8901
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 375 N STEPHANIE ST STE 1011
Second Line :
City : HENDERSON
State : NV
Zip : 89014-8901
Country : US
Telephone Number : 725-228-6412
Fax Number :
Authorized Official
Title or Position : CEO
Name : POI KULZER
Credential :
Telephone Number : 725-228-6412
Provider Enumeration Date : 05/09/2024
Last Update Date : 09/15/2025

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Directions to “MADRONA HOSPICE CARE INC ” Practice Location

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