CROSSROADS HOSPICE OF PHILADELPHIA NPI 1578662235

NPI Information

NPI: 1578662235
Provider Name: CROSSROADS HOSPICE OF PHILADELPHIA

Doing Business As: CROSSROADS HOSPICE OF PHILADELPHIA, LLC

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

CLIA Number: 39D2151990

Address:
523 PLYMOUTH RD
SUITE 225
PLYMOUTH MEETING, PA
ZIP 19462
Phone: (215) 956-5110
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CROSSROADS HOSPICE OF PHILADELPHIA is a hospice care community based in Plymouth Meeting, PA. CROSSROADS HOSPICE OF PHILADELPHIA NPI is 1578662235. The provider is registered as an organization entity type.
The provider Is Doing Business As Crossroads Hospice Of Philadelphia, Llc.

The provider's business location address is:

523 PLYMOUTH RD
SUITE 225
PLYMOUTH MEETING, PA
ZIP 19462-656
Phone: (215) 956-5110
Fax: (215) 956-5175

The provider's authorized official is Clayton Lee Farmer .
The authorized official title is Secretary and has the following contact phone number (918) 627-6846.

The CLIA number assigned to this NPI record is 39D2151990 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 11/13/2015.

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		16791601	PENNSYLVANIA	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	101878229	MEDICAID	PENNSYLVANIA
2	391679	MEDICARE OSCAR/CERTIFICATION

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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