National Provider Identifier Database

PREFERRED HOSPICE OF MISSOURI LLC
Hospice Care, Community Based


Contact Information

PREFERRED HOSPICE OF MISSOURI LLC
423 BUSINESS HIGHWAY 60 WEST
DEXTER, MO63841-1121
Phone: 573-614-4774
Fax: 573-614-4775
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for PREFERRED HOSPICE OF MISSOURI LLC

NPI Number 1548296304
Legal business name
LBN
PREFERRED HOSPICE OF MISSOURI LLC
Authorized official JAMES LINCOLN - (MEMBER)
Entity Organization
Organization subpart No
Enumeration date 06/23/2006
Last updated 01/05/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 139-3HO
  • MO License #: 139-HO
  • MO Medicaid: 1548296304
  • MO Medicaid: 826195208
  • MO Other: 200884 BLUE CROSS BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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