Heritage Hospice, Inc.

LBN: Heritage Hospice, Inc.
Heritage Hospice, Inc. is an health care organization with primary practice located at 1202 W. Buena Vista Rd Suite 107, Evansville IN 47710. The organization recently has 2 registered licenses in different health care specialties including Agencies / Hospice Care, Community Based, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Heritage Hospice, Inc. can be contacted via phone (812) 475-9712, or through Ambrose, Mark via phone (812) 429-1845.

Contact Information

Primary practice address
1202 W. Buena Vista Rd Suite 107 Evansville IN 47710
Phone: (812) 475-9712
Fax: (812) 475-9716
Website:
Map and Directions
Authorized official contact:
Name: Ambrose, Mark
Phone: (812) 429-1845

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 07-0004208-01 Indiana
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 004208-1 Indiana

Profile Details

NPI number 1669462321
LBN Legal business name Heritage Hospice, Inc.
DBA Doing business as
Authorized official Ambrose, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2005
Last updated Mar 6th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669462321 NPPES
Indiana MEDICAID 200513260
Indiana MEDICAID 200513260A

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