ALLIED HOSPICE LLC NPI 1104342815

NPI Information

NPI: 1104342815
Provider Name: ALLIED HOSPICE, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 37D2141826

Address:
500 N POPLAR AVE
BROKEN ARROW, OK
ZIP 74012
Phone: (918) 742-4269
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ALLIED HOSPICE, LLC is a hospice care community based in Broken Arrow, OK. ALLIED HOSPICE, LLC NPI is 1104342815. The provider is registered as an organization entity type.

The provider's business location address is:

500 N POPLAR AVE
BROKEN ARROW, OK
ZIP 74012-337
Phone: (918) 742-4269
Fax: (918) 742-4493

The provider's authorized official is Crosby Connor Caughron .
The authorized official title is Program Director and has the following contact phone number (918) 457-8120.

The CLIA number assigned to this NPI record is 37D2141826 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/15/2017 and was last updated on 8/15/2017.

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: 11/14/2023

NPI Synchronization or Removal

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