BELOVED HOSPICE INC. NPI 1932808078

NPI Information

NPI: 1932808078
Provider Name: BELOVED HOSPICE, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 38D2280001

Address:
25195 SW PARKWAY AVE STE 200
WILSONVILLE, OR
ZIP 97070
Phone: (971) 236-1199
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BELOVED HOSPICE, INC. is a hospice care community based in Wilsonville, OR. BELOVED HOSPICE, INC. NPI is 1932808078. The provider is registered as an organization entity type.

The provider's business location address is:

25195 SW PARKWAY AVE STE 200
WILSONVILLE, OR
ZIP 97070-689
Phone: (971) 236-1199

The provider's authorized official is Roland Jayson Pua .
The authorized official title is Chief Medical Officer and has the following contact phone number (702) 588-1691.

The CLIA number assigned to this NPI record is 38D2280001 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2023 and was last updated on 3/17/2023.

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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