SUPERIOR HOSPICE INC. NPI 1265211171

NPI Information

NPI: 1265211171
Provider Name: SUPERIOR HOSPICE INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 24D2298664

Address:
800 BOONE AVE N STE 194
GOLDEN VALLEY, MN
ZIP 55427
Phone: (763) 277-8777
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SUPERIOR HOSPICE INC. is a hospice care community based in Golden Valley, MN. SUPERIOR HOSPICE INC. NPI is 1265211171. The provider is registered as an organization entity type.

The provider's business location address is:

800 BOONE AVE N STE 194
GOLDEN VALLEY, MN
ZIP 55427-476
Phone: (763) 277-8777
Fax: (763) 277-8778

The provider's authorized official is Michael Lecy .
The authorized official title is Vp Of Operations and has the following contact phone number (763) 233-7565.

The CLIA number assigned to this NPI record is 24D2298664 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2023 and was last updated on 10/11/2023.

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: 5/5/2024

NPI Synchronization or Removal

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