HOSPICE HOME CARE LLC NPI 1114065018

NPI Information

NPI: 1114065018
Provider Name: HOSPICE HOME CARE, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 04D1075323

Address:
990 HIGHWAY 425 N
MONTICELLO, AR
ZIP 71655
Phone: (870) 367-9008
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HOSPICE HOME CARE, LLC is a hospice care community based in Monticello, AR. HOSPICE HOME CARE, LLC NPI is 1114065018. The provider is registered as an organization entity type.

The provider's business location address is:

990 HIGHWAY 425 N
MONTICELLO, AR
ZIP 71655-441
Phone: (870) 367-9008
Fax: (501) 221-0687

The provider's authorized official is Kristi Kenslow .
The authorized official title is Division Svp Of Operations and has the following contact phone number (501) 558-4100.

The CLIA number assigned to this NPI record is 04D1075323 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 11/18/2021.

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		AR3712	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	137628747	MEDICAID	ARKANSAS

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: 11/14/2023

NPI Synchronization or Removal

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