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NPI Code Detail

MEDICARE: ST. VINCENT HOSPICE, LLC

MEDICARE: ST. VINCENT 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
1315D00000XInpatient Hospice
2251G00000XCommunity Based Hospice Care Agency050050751IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922047638
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. VINCENT HOSPICE, LLC
Provider Business Mailing Address
First Line : 10 CADILLAC DR STE 400
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-1001
Country : US
Telephone Number : 615-551-3939
Fax Number : 615-373-4457
Provider Business Practice Location Address
First Line : 6510 TELECOM DR STE 165
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46278-6330
Country : US
Telephone Number : 317-338-4040
Fax Number :
Authorized Official
Title or Position : SVP CHIEF LEGAL OFFICER
Name : RUSSELL ADKINS
Credential :
Telephone Number : 615-926-0340
Provider Enumeration Date : 06/06/2006
Last Update Date : 11/12/2025

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Directions to “ST. VINCENT HOSPICE, LLC ” Practice Location

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