HEAVEN AND EARTH HOSPICE LLC NPI 1982998878

NPI Information

NPI: 1982998878
Provider Name: HEAVEN AND EARTH HOSPICE LLC

Doing Business As: ACG HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
1635 S MAIN ST
GROVE, OK
ZIP 74344
Phone: (918) 323-0100
Get Directions

HEAVEN AND EARTH HOSPICE LLC is a hospice care community based in Grove, OK. HEAVEN AND EARTH HOSPICE LLC NPI is 1982998878. The provider is registered as an organization entity type.
The provider Is Doing Business As Acg Hospice.

The provider's business location address is:

1635 S MAIN ST
GROVE, OK
ZIP 74344-368
Phone: (918) 323-0100
Fax: (918) 323-0131

The provider's authorized official is Pamela Duncan .
The authorized official title is Cco and has the following contact phone number (800) 932-2738.

The enumeration date for this NPI number is 6/8/2011 and was last updated on 1/29/2024.

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		4164	OKLAHOMA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200108280A	MEDICAID	OKLAHOMA
2	37D2051838	OTHER	OKLAHOMA	CLIA WAIVER
3	4164	OTHER	OKLAHOMA	STATE LICENSE

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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