MEDICARE: HOPE 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	050098781	IN

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

General Provider Information

NPI Number	:	1700881703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE HOSPICE INC

Provider Business Mailing Address
First Line	:	PO BOX 621
Second Line	:
City	:	ROCHESTER
State	:	IN
Zip	:	46975-0621
Country	:	US
Telephone Number	:	574-224-4673
Fax Number	:	574-224-4444

Provider Business Practice Location Address
First Line	:	1476 W 18TH ST
Second Line	:
City	:	ROCHESTER
State	:	IN
Zip	:	46975-7939
Country	:	US
Telephone Number	:	574-224-4673
Fax Number	:	574-224-4444

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. DANIEL L PURKEY
Credential	:
Telephone Number	:	574-224-4673

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	12/04/2009

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Directions to “HOPE HOSPICE INC ” Practice Location

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