ST. AGNES HOSPICE; NPI #1922008002

Contact Information

ST. AGNES HOSPICE

1501 S EDGEWOOD ST
SUITE A
BALTIMORE, MD 21227-1071

Phone: 410-368-2825
Fax: 410-368-8449
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 ST. AGNES HOSPICE

NPI # 1922008002

LBN Legal business name ST. AGNES HOSPICE

Authorized official BRIAN CLEMENS - (VP OF FINANCE)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/29/2005

Last updated 02/22/2012 - About 14 years ago

Identifiers

MD	License #	H1512
MD	Medicaid	039395900

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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ST. AGNES HOSPICE

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for ST. AGNES HOSPICE

Reviews for ST. AGNES HOSPICE