INTREPID OF PENNSYLVANIA INC. NPI 1356959811

NPI Information

NPI: 1356959811
Provider Name: INTREPID OF PENNSYLVANIA, INC.

Doing Business As: INTREPID USA HOSPICE

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

Address:
4813 JONESTOWN RD STE 201
HARRISBURG, PA
ZIP 17109
Phone: (469) 673-6666
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INTREPID OF PENNSYLVANIA, INC. is a hospice care community based in Harrisburg, PA. INTREPID OF PENNSYLVANIA, INC. NPI is 1356959811. The provider is registered as an organization entity type.
The provider Is Doing Business As Intrepid Usa Hospice.

The provider's business location address is:

4813 JONESTOWN RD STE 201
HARRISBURG, PA
ZIP 17109-749
Phone: (469) 673-6666
Fax: (214) 445-3994

The provider's authorized official is Robert Parker .
The authorized official title is Cco and has the following contact phone number (214) 445-3750.

The CLIA number assigned to this NPI record is 39D0926380 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2020 and was last updated on 11/8/2022.

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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