HOSPICE OF THE MIDWEST LLC NPI 1023401254

NPI Information

NPI: 1023401254
Provider Name: HOSPICE OF THE MIDWEST, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 16D2096937

Address:
9249 NORTHPARK DR
JOHNSTON, IA
ZIP 50131
Phone: (515) 218-2143
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HOSPICE OF THE MIDWEST, LLC is a hospice care community based in Johnston, IA. HOSPICE OF THE MIDWEST, LLC NPI is 1023401254. The provider is registered as an organization entity type.

The provider's business location address is:

9249 NORTHPARK DR
JOHNSTON, IA
ZIP 50131-933
Phone: (515) 218-2143
Fax: (515) 218-2327

The provider's authorized official is Kevin Mcdaniel .
The authorized official title is Secretary and has the following contact phone number (256) 810-1079.

The CLIA number assigned to this NPI record is 16D2096937 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2015 and was last updated on 9/8/2022.

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: 5/5/2024

NPI Synchronization or Removal

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