Provider Demographics
NPI:1053355412
Name:HOSPICE PREFERRED CHOICE, INC.
Entity type:Organization
Organization Name:HOSPICE PREFERRED CHOICE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:RASMUSSEN-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-201-4835
Mailing Address - Street 1:231 ALLEGHENY BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BROOKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15825-2321
Mailing Address - Country:US
Mailing Address - Phone:901-758-1450
Mailing Address - Fax:
Practice Address - Street 1:231 ALLEGHENY BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:BROOKVILLE
Practice Address - State:PA
Practice Address - Zip Code:15825-2321
Practice Address - Country:US
Practice Address - Phone:901-758-1450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOMECARE PREFERRED CHOICE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-16
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA391682Medicare Oscar/Certification