BEACON OF HOPE HOSPICE, INC.; NPI #1639175599

Contact Information

BEACON OF HOPE HOSPICE, INC.

1020 WEST 35TH STREET
DAVENPORT, IA 52806-4440

Phone: 563-391-6933
Fax: 563-391-5104
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 BEACON OF HOPE HOSPICE, INC.

NPI # 1639175599

LBN Legal business name BEACON OF HOPE HOSPICE, INC.

Authorized official DAWN MULLINS - (PRESIDENT/CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/24/2005

Last updated 04/20/2008 - About 18 years ago

Identifiers

IA	License #	2698587
IL	License #	41537899
IA	Other	0615526	MEDICAID

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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BEACON OF HOPE HOSPICE, INC.

Contact Information

Specialty

Hospice Care, Community Based

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

Reviews for BEACON OF HOPE HOSPICE, INC.