HOSPICE ADVANTAGE LLC. NPI 1144526641

NPI Information

NPI: 1144526641
Provider Name: HOSPICE ADVANTAGE, LLC.

Former Legal Business Name: HOSPICE ADVANTAGE, INC.

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
2620 FORUM BLVD
SUITE E
COLUMBIA, MO
ZIP 65203
Phone: (573) 442-9104
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HOSPICE ADVANTAGE, LLC. is a hospice care community based in Columbia, MO. HOSPICE ADVANTAGE, LLC. NPI is 1144526641. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Hospice Advantage, Inc..

The provider's business location address is:

2620 FORUM BLVD
SUITE E
COLUMBIA, MO
ZIP 65203-454
Phone: (573) 442-9104
Fax: (573) 442-9124

The provider's authorized official is Kaye Mynsberge .
The authorized official title is Coo and has the following contact phone number (989) 891-2210.

The enumeration date for this NPI number is 1/31/2011 and was last updated on 7/2/2014.

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		203-HO	MISSOURI	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	1144526641	MEDICAID	MISSOURI
2	261643	MEDICARE OSCAR/CERTIFICATION	MISSOURI

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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