CROWN HOSPICE INC NPI 1184739245

NPI Information

NPI: 1184739245
Provider Name: CROWN HOSPICE INC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 26D2110159

Address:
2858 PROFESSIONAL CT
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 335-4800
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CROWN HOSPICE INC is a hospice care community based in Cape Girardeau, MO. CROWN HOSPICE INC NPI is 1184739245. The provider is registered as an organization entity type.

The provider's business location address is:

2858 PROFESSIONAL CT
CAPE GIRARDEAU, MO
ZIP 63703-035
Phone: (573) 335-4800
Fax: (573) 335-4805

The provider's authorized official is Timothy Winters .
The authorized official title is President and has the following contact phone number (918) 492-6440.

The CLIA number assigned to this NPI record is 26D2110159 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 11/15/2019.

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

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	826299406	MEDICAID	MISSOURI

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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