HEARTHSTONE CARE GROUP LLC NPI 1376286989

NPI Information

NPI: 1376286989
Provider Name: HEARTHSTONE CARE GROUP LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 24D2269676

Address:
441 ARROWHEAD LN UNIT B
MOOSE LAKE, MN
ZIP 55767
Phone: (614) 560-9636
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HEARTHSTONE CARE GROUP LLC is a hospice care community based in Moose Lake, MN. HEARTHSTONE CARE GROUP LLC NPI is 1376286989. The provider is registered as an organization entity type.

The provider's business location address is:

441 ARROWHEAD LN UNIT B
MOOSE LAKE, MN
ZIP 55767-702
Phone: (614) 560-9636

The provider's authorized official is Jennifer Fry .
The authorized official title is Owner and has the following contact phone number (614) 560-9636.

The CLIA number assigned to this NPI record is 24D2269676 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2022 and was last updated on 11/4/2022.

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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