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ST CROIX HOSPICE LLC NPI 1740553940


NPI Information

NPI: 1740553940
Provider Name: ST CROIX HOSPICE LLC

Doing Business As: ST. CROIX HOSPICE

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

CLIA Number: 28D2128333

Address:
1065 N 115TH ST STE 120
OMAHA, NE
ZIP 68154
Phone: (402) 609-4818
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ST CROIX HOSPICE LLC is a hospice care community based in Omaha, NE. ST CROIX HOSPICE LLC NPI is 1740553940. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Croix Hospice.

The provider's business location address is:

1065 N 115TH ST STE 120
OMAHA, NE
ZIP 68154-423
Phone: (402) 609-4818
Fax: (402) 502-4567

The provider's authorized official is Heath A. Bartness .
The authorized official title is Ceo and has the following contact phone number (651) 735-3656.

The CLIA number assigned to this NPI record is 28D2128333 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2012 and was last updated on 12/14/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedYes

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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