RESIDENTIAL HOSPICE LLC NPI 1528773132

NPI Information

NPI: 1528773132
Provider Name: RESIDENTIAL HOSPICE, LLC

Doing Business As: RESIDENTIAL PALLIATIVE CARE

Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
1745 INDIAN WOOD CIR STE 252
MAUMEE, OH
ZIP 43537
Phone: (567) 218-2075
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RESIDENTIAL HOSPICE, LLC is an adult health nurse practitioner in Maumee, OH. RESIDENTIAL HOSPICE, LLC NPI is 1528773132. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Residential Palliative Care.

The provider's business location address is:

1745 INDIAN WOOD CIR STE 252
MAUMEE, OH
ZIP 43537-168
Phone: (567) 218-2075
Fax: (855) 618-6655

The provider's authorized official is Justin Dewitte .
The authorized official title is Ceo and has the following contact phone number (866) 902-4000.

The enumeration date for this NPI number is 1/18/2023 and was last updated on 11/9/2023.

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	363LA2200X	Nurse Practitioner	Adult Health			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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