MEDICARE: ACCESS HOSPICE, LLC

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

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	:	1750619060
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESS HOSPICE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 51266
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70505-1266
Country	:	US
Telephone Number	:	337-233-1307
Fax Number	:	337-233-5764

Provider Business Practice Location Address
First Line	:	1741 S 15TH ST
Second Line	:
City	:	OZARK
State	:	MO
Zip	:	65721-9030
Country	:	US
Telephone Number	:	417-332-3510
Fax Number	:	417-332-3512

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSHUA L. PROFFITT
Credential	:
Telephone Number	:	337-233-1307

Provider Enumeration Date	:	11/24/2009
Last Update Date	:	05/16/2023

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Directions to “ACCESS HOSPICE, LLC ” Practice Location

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