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LIFEPATH HOSPICE INC. NPI 1124171350


NPI Information

NPI: 1124171350
Provider Name: LIFEPATH HOSPICE, INC.

Doing Business As: LIFEPATH HOSPICE

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

CLIA Number: 10D1082889

Address:
4200 W CYPRESS ST STE 690
TAMPA, FL
ZIP 33607
Phone: (813) 877-2200
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LIFEPATH HOSPICE, INC. is a hospice care community based in Tampa, FL. LIFEPATH HOSPICE, INC. NPI is 1124171350. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifepath Hospice.

The provider's business location address is:

4200 W CYPRESS ST STE 690
TAMPA, FL
ZIP 33607-112
Phone: (813) 877-2200
Fax: (813) 383-5041

The provider's authorized official is Sharon Pamela Saucier .
The authorized official title is Chief Compliance & Clinical Officer and has the following contact phone number (813) 871-8031.

The CLIA number assigned to this NPI record is 10D1082889 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 8/24/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community Based5018095FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1150022800MEDICAIDFLORIDA

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

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