HOSPICE OF HOLLAND INC NPI 1194792259

NPI Information

NPI: 1194792259
Provider Name: HOSPICE OF HOLLAND, INC

Doing Business As: HOSPICE OF HOLLAND

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

Address:
270 HOOVER BLVD
HOLLAND, MI
ZIP 49423
Phone: (616) 396-2972
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HOSPICE OF HOLLAND, INC is a hospice care community based in Holland, MI. HOSPICE OF HOLLAND, INC NPI is 1194792259. The provider is registered as an organization entity type.
The provider Is Doing Business As Hospice Of Holland.

The provider's business location address is:

270 HOOVER BLVD
HOLLAND, MI
ZIP 49423-719
Phone: (616) 396-2972
Fax: (616) 396-2808

The provider's authorized official is Cecelia Perkins .
The authorized official title is Director Of Finance and has the following contact phone number (616) 396-2972.

The CLIA number assigned to this NPI record is 23D0975495 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2006 and was last updated on 9/18/2013.

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		703510	MICHIGAN	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	231546	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
2	2829244	MEDICAID	MICHIGAN

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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