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HOSPICE PREFERRED CHOICE INC NPI 1760421739


NPI Information

NPI: 1760421739
Provider Name: HOSPICE PREFERRED CHOICE, INC

Doing Business As: ASERACARE HOSPICE

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

CLIA Number: 52D1050902

Address:
2204 E MORELAND BLVD STE 101
WAUKESHA, WI
ZIP 53186
Phone: (262) 785-1356
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HOSPICE PREFERRED CHOICE, INC is a hospice care community based in Waukesha, WI. HOSPICE PREFERRED CHOICE, INC NPI is 1760421739. The provider is registered as an organization entity type.
The provider Is Doing Business As Aseracare Hospice.

The provider's business location address is:

2204 E MORELAND BLVD STE 101
WAUKESHA, WI
ZIP 53186-942
Phone: (262) 785-1356
Fax: (262) 785-1389

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 52D1050902 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedYes

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
143186700MEDICAIDWISCONSIN

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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