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HOSPICE & PALLIATIVE CARECENTER NPI 1659300770


NPI Information

NPI: 1659300770
Provider Name: HOSPICE & PALLIATIVE CARECENTER

Doing Business As: TRELLIS SUPPORTIVE CARE

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

CLIA Number: 34D0876215

Address:
101 HOSPICE LN
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 768-3972
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HOSPICE & PALLIATIVE CARECENTER is a hospice care community based in Winston Salem, NC. HOSPICE & PALLIATIVE CARECENTER NPI is 1659300770. The provider is registered as an organization entity type.
The provider Is Doing Business As Trellis Supportive Care.

The provider's business location address is:

101 HOSPICE LN
WINSTON SALEM, NC
ZIP 27103-766
Phone: (336) 768-3972
Fax: (336) 659-0461

The provider's authorized official is David Shelton .
The authorized official title is Cfo and has the following contact phone number (336) 331-1260.

The CLIA number assigned to this NPI record is 34D0876215 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 9/27/2018.


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
1251G00000XHospice Care, Community BasedHC0409NORTH 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
141731OTHERNORTH CAROLINAPARTNERS HOSPICE
23407106MEDICAIDNORTH CAROLINA
300735OTHERNORTH CAROLINABCBS HOMEHEALTH
43401502MEDICAIDNORTH CAROLINA
528048OTHERNORTH CAROLINAPARTNERS HOMEHEALTH
66600079MEDICAIDNORTH CAROLINA
70023AOTHERNORTH CAROLINABCBS HOSPICE

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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