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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669462321 | NPPES |
| Indiana | MEDICAID | 200513260 | |
| Indiana | MEDICAID | 200513260A |
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