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AUTHORACARE COLLECTIVE NPI 1093774614


NPI Information

NPI: 1093774614
Provider Name: AUTHORACARE COLLECTIVE
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 34D0948351

Address:
2500 SUMMIT AVE
GREENSBORO, NC
ZIP 27405
Phone: (336) 621-2500
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AUTHORACARE COLLECTIVE is a hospice care community based in Greensboro, NC. AUTHORACARE COLLECTIVE NPI is 1093774614. The provider is registered as an organization entity type.

The provider's business location address is:

2500 SUMMIT AVE
GREENSBORO, NC
ZIP 27405-522
Phone: (336) 621-2500
Fax: (336) 621-4516

The provider's authorized official is Kristen Wither Yntema .
The authorized official title is Ceo and has the following contact phone number (336) 621-2500.

The CLIA number assigned to this NPI record is 34D0948351 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2006 and was last updated on 5/6/2020.


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
1251E00000XHome HealthHC0374NORTH CAROLINANo
2251G00000XHospice Care, Community BasedHC0374NORTH CAROLINAYes

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
16003656OTHERNORTH CAROLINAUHC-HOMEHEALTH
22630370OTHERNORTH CAROLINAUHC-PALLIATIVE CARE ASSOC
30021TOTHERNORTH CAROLINABCBS HOSPICE
43409253MEDICAIDNORTH CAROLINA
556162OTHERNORTH CAROLINAGP MEDCOST-PALIATIVE CAR
60074BOTHERNORTH CAROLINABCBS-HOMEHEALTH
73401503MEDICAIDNORTH CAROLINA
883-00808OTHERNORTH CAROLINAUHC-HOSPICE
95904287MEDICAIDNORTH CAROLINA
103407128MEDICAIDNORTH CAROLINA

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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