HOSPICE OF EASTERN CAROLINA INC. NPI 1619918125

NPI Information

NPI: 1619918125
Provider Name: HOSPICE OF EASTERN CAROLINA, INC.

Doing Business As: ASERACARE HOSPICE

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

Address:
2317 EXECUTIVE CIR STE B
GREENVILLE, NC
ZIP 27834
Phone: (252) 756-3803
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HOSPICE OF EASTERN CAROLINA, INC. is a hospice care community based in Greenville, NC. HOSPICE OF EASTERN CAROLINA, INC. NPI is 1619918125. The provider is registered as an organization entity type.
The provider Is Doing Business As Aseracare Hospice.

The provider's business location address is:

2317 EXECUTIVE CIR STE B
GREENVILLE, NC
ZIP 27834
Phone: (252) 756-3803

The provider's authorized official is Paul Kusserow .
The authorized official title is President and has the following contact phone number (225) 292-2031.

The CLIA number assigned to this NPI record is 34D0917498 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 7/6/2020.

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 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	3411512	MEDICAID	NORTH 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

NPI Synchronization or Removal

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