National Provider Identifier Database

ST AGNES HOSPICE
Hospice Care, Community Based


Contact Information

ST. AGNES HOSPICE
1501 S EDGEWOOD ST
SUITE A
BALTIMORE, MD21227-1071
Phone: 410-368-2825
Fax: 410-368-8449
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for ST. AGNES HOSPICE

NPI Number 1922008002
Legal business name
LBN
ST. AGNES HOSPICE
Authorized official BRIAN CLEMENS - (VP OF FINANCE)
Entity Organization
Organization subpart No
Enumeration date 07/29/2005
Last updated 02/22/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • MD License #: H1512
  • MD Medicaid: 039395900

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.

Reviews for ST. AGNES HOSPICE

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