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NPI Code Detail

MEDICARE: HOSPICE OF ST. FRANCIS, INC.

MEDICARE: HOSPICE OF ST. FRANCIS, 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 Agency5029096FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598815839
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOSPICE OF ST. FRANCIS, INC.
Provider Business Mailing Address
First Line : 1250 GRUMMAN PL STE B
Second Line :
City : TITUSVILLE
State : FL
Zip : 32780-7927
Country : US
Telephone Number : 321-269-4240
Fax Number : 321-269-5428
Provider Business Practice Location Address
First Line : 1250 GRUMMAN PL STE B
Second Line :
City : TITUSVILLE
State : FL
Zip : 32780-7927
Country : US
Telephone Number : 321-269-4240
Fax Number : 321-269-5428
Authorized Official
Title or Position : MANAGE CARE/SYSTEMS SPECIALIST
Name : MR. KAMEN JENKINS
Credential :
Telephone Number : 321-522-8612
Provider Enumeration Date : 01/11/2007
Last Update Date : 03/25/2022

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