MEDICARE: HOSPICE CHOICE 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	0526-15	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	337550	OTHER	VA	ANTHEM

General Provider Information

NPI Number	:	1366444630
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE CHOICE INC

Provider Business Mailing Address
First Line	:	PO BOX 349
Second Line	:
City	:	NORTON
State	:	VA
Zip	:	24273-0349
Country	:	US
Telephone Number	:	276-679-7212
Fax Number	:	276-679-7245

Provider Business Practice Location Address
First Line	:	18 7TH ST NW
Second Line	:	SUITE 302
City	:	NORTON
State	:	VA
Zip	:	24273-1961
Country	:	US
Telephone Number	:	276-679-7212
Fax Number	:	276-679-7245

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	SHERRY A ADAMS
Credential	:
Telephone Number	:	276-679-7212

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	09/06/2011

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Directions to “HOSPICE CHOICE INC ” Practice Location

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