MEDICARE: MRS. RACHELLE S HOGUE

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	163WC0400X	Case Management Registered Nurse	95045480	CA

General Provider Information

NPI Number	:	1720946619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RACHELLE S HOGUE

Provider Business Mailing Address
First Line	:	440 E SWEDESFORD RD STE 2045
Second Line	:
City	:	WAYNE
State	:	PA
Zip	:	19087-1842
Country	:	US
Telephone Number	:	800-822-6099
Fax Number	:	888-508-5803

Provider Business Practice Location Address
First Line	:	440 E SWEDESFORD RD STE 2045
Second Line	:
City	:	WAYNE
State	:	PA
Zip	:	19087-1842
Country	:	US
Telephone Number	:	800-822-6099
Fax Number	:	888-508-5803

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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