HOSPICE OF MINNESOTA LLC NPI 1073177986

NPI Information

NPI: 1073177986
Provider Name: HOSPICE OF MINNESOTA, LLC

Doing Business As: GENTIVA I

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
404 W SUPERIOR ST STE 290
DULUTH, MN
ZIP 55802
Phone: (218) 729-2517
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HOSPICE OF MINNESOTA, LLC is a hospice care community based in Duluth, MN. HOSPICE OF MINNESOTA, LLC NPI is 1073177986. The provider is registered as an organization entity type.
The provider Is Doing Business As Gentiva I.

The provider's business location address is:

404 W SUPERIOR ST STE 290
DULUTH, MN
ZIP 55802-504
Phone: (218) 729-2517
Fax: (218) 520-0484

The provider's authorized official is Janet Combs .
The authorized official title is Vp Of Licensure and has the following contact phone number (704) 664-2876.

The CLIA number assigned to this NPI record is 10D1001178 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2019 and was last updated on 1/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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