National Provider Identifier Database

BREVARD HMA HOSPICE LLC
Hospice Care, Community Based


Contact Information

BREVARD HMA HOSPICE, LLC
8060 SPYGLASS HILL RD
VIERA, FL32940
Phone: 321-253-2222
Fax: 321-255-8148
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for BREVARD HMA HOSPICE, LLC

NPI Number 1740247212
Legal business name
LBN
BREVARD HMA HOSPICE, LLC
Authorized official JOSHUA PROFFITT - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/28/2006
Last updated 07/08/2025 - About 11 months ago
Sole proprietor1 Not specified
Identifiers
  • FL Medicaid: 003694700

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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