National Provider Identifier Database

365 HOSPICE LLC
Hospice Care, Community Based


Contact Information

365 HOSPICE, LLC
355 N 21ST ST STE 207
CAMP HILL, PA17011-3707
Phone: 717-730-6734
Fax: 717-730-6735
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for 365 HOSPICE, LLC

NPI Number 1942447529
Legal business name
LBN
365 HOSPICE, LLC
Authorized official JONATHAN REZK - (CFO)
Entity Organization
Organization subpart No
Enumeration date 01/19/2009
Last updated 03/17/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • PA Medicaid: 1020513330004

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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