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NPI Code Detail

MEDICARE: CHAUTAUQUA HOSPICE AND PALLIATIVE CARE

MEDICARE: CHAUTAUQUA HOSPICE AND PALLIATIVE CARE
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 Agency0622501FNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2561OTHERBLUE CROSS
300011476301OTHERUNIVERA

General Provider Information

NPI Number : 1639255250
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHAUTAUQUA HOSPICE AND PALLIATIVE CARE
Provider Business Mailing Address
First Line : 20 WEST FAIRMOUNT AVE
Second Line :
City : LAKEWOOD
State : NY
Zip : 14750-1702
Country : US
Telephone Number : 716-338-0033
Fax Number : 716-338-1575
Provider Business Practice Location Address
First Line : 20 WEST FAIRMOUNT AVE
Second Line :
City : LAKEWOOD
State : NY
Zip : 14750-1702
Country : US
Telephone Number : 716-338-0033
Fax Number : 716-338-1575
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MR. MICHAEL TESTA
Credential :
Telephone Number : 716-338-0033
Provider Enumeration Date : 10/27/2006
Last Update Date : 08/11/2022

Similar Medicare Providers

1437123114 — DEBORAH M PIOTROWSKI FNP
Practice Location Address:
20 W FAIRMOUNT AVE
LAKEWOOD, NY
14750-1702
Practice Phone: 716-338-0033
Practice Fax: 716-338-1575
1164466710 — MARY H RAPPOLE RN,MSN,NP
Practice Location Address:
20 W FAIRMOUNT AVE
LAKEWOOD, NY
14750-1702
Practice Phone: 716-338-0033
Practice Fax: 716-338-1575
1598883506 — THOMAS ALAN PUTNAM MD
Practice Location Address:
20 W FAIRMOUNT AVE
LAKEWOOD, NY
14750-1702
Practice Phone: 716-338-0033
Practice Fax:
1497190607 — MISS BETHANIE ANNE MILNER R.N
Practice Location Address:
20 W FAIRMOUNT AVE
LAKEWOOD, NY
14750-1702
Practice Phone: 716-338-0033
Practice Fax:
1356745004 — MR. BENJAMIN EDWARD PROBST LMSW
Practice Location Address:
20 W FAIRMOUNT AVE
LAKEWOOD, NY
14750-1702
Practice Phone: 716-338-0033
Practice Fax:
1508010448 — KAIL ENTERPRISES, LLC
Practice Location Address:
4201 NE LAKEWOOD WAY , #112
LEES SUMMIT, MO
64064-1702
Practice Phone: 816-795-7797
Practice Fax: 816-795-7796

Directions to “CHAUTAUQUA HOSPICE AND PALLIATIVE CARE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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