PREFERRED HOSPICE OF MISSOURI NORTHEAST LLC; NPI #1821025826

Contact Information

PREFERRED HOSPICE OF MISSOURI NORTHEAST LLC

301 SOVEREIGN COURT
SUITE 206
BALLWIN, MO 63011-4435

Phone: 636-527-9330
Fax: 636-527-9340
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 PREFERRED HOSPICE OF MISSOURI NORTHEAST LLC

NPI Number 1821025826

LBN Legal business name PREFERRED HOSPICE OF MISSOURI NORTHEAST LLC

Authorized official JAMES LINCOLN - (MEMBER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/26/2006

Last updated 01/05/2011 - About 15 years ago

Identifiers

MO	License #	144-3HO
MO	License #	146-HO
MO	Medicaid	1821025826
MO	Medicaid	826224107

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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