MEDICARE: HC HEALTHCARE, 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

General Provider Information

NPI Number	:	1861688558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HC HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	401 CENTER AVE
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-5939
Country	:	US
Telephone Number	:	989-891-2210
Fax Number	:

Provider Business Practice Location Address
First Line	:	1951 GAULT AVE N
Second Line	:
City	:	FORT PAYNE
State	:	AL
Zip	:	35967-3417
Country	:	US
Telephone Number	:	256-844-2288
Fax Number	:	256-844-2289

Authorized Official
Title or Position	:	COO
Name	:	KAYANNE MYNSBERGE
Credential	:	RN
Telephone Number	:	989-891-2206

Provider Enumeration Date	:	09/17/2007
Last Update Date	:	01/16/2013

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