HOSPICE ADVANTAGE, LLC.; NPI #1144526641

Contact Information

HOSPICE ADVANTAGE, LLC.

2620 FORUM BLVD
SUITE E
COLUMBIA, MO 65203-5454

Phone: 573-442-9104
Fax: 573-442-9124
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for HOSPICE ADVANTAGE, LLC.

NPI Number 1144526641

LBN Legal business name HOSPICE ADVANTAGE, LLC.

Authorized official KAYE MYNSBERGE - (COO)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/31/2011

Last updated 07/02/2014 - About 12 years ago

Identifiers

MO	License #	203-HO
MO	Medicaid	1144526641

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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HOSPICE ADVANTAGE, LLC.

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for HOSPICE ADVANTAGE, LLC.

Reviews for HOSPICE ADVANTAGE, LLC.