ENNOBLE CARE OF PENNSYLVANIA LLC NPI 1356948731

NPI Information

NPI: 1356948731
Provider Name: ENNOBLE CARE OF PENNSYLVANIA LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 31D2135528

Address:
1650 MARKET ST STE 2600
PHILADELPHIA, PA
ZIP 19103
Phone: (877) 684-7831
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ENNOBLE CARE OF PENNSYLVANIA LLC is a hospice care community based in Philadelphia, PA. ENNOBLE CARE OF PENNSYLVANIA LLC NPI is 1356948731. The provider is registered as an organization entity type.

The provider's business location address is:

1650 MARKET ST STE 2600
PHILADELPHIA, PA
ZIP 19103-301
Phone: (877) 684-7831

The provider's authorized official is Daniel Stokar .
The authorized official title is President and has the following contact phone number (973) 435-9463.

The CLIA number assigned to this NPI record is 31D2135528 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/8/2020 and was last updated on 10/8/2020.

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 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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