National Provider Identifier Database

BEACON OF HOPE HOSPICE INC
Hospice Care, Community Based


Contact Information

BEACON OF HOPE HOSPICE, INC.
1020 WEST 35TH STREET
DAVENPORT, IA52806-4440
Phone: 563-391-6933
Fax: 563-391-5104
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for BEACON OF HOPE HOSPICE, INC.

NPI Number 1639175599
Legal business name
LBN
BEACON OF HOPE HOSPICE, INC.
Authorized official DAWN MULLINS - (PRESIDENT/CEO)
Entity Organization
Organization subpart No
Enumeration date 06/24/2005
Last updated 04/20/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • IA License #: 2698587
  • IL License #: 41537899
  • IA Other: 0615526 MEDICAID

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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