NPI 1063795508 · live from the CMS NPI Registry
Lester Dierksen Memorial Hospice
Hospice Care, Community Based in Jonesboro, AR. National Provider Identifier 1063795508, active.
NPI record
| NPI | 1063795508 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 4315 E Johnson Ave, Jonesboro, AR 72401 |
| Practice phone | 870-932-2880 |
| Mailing address | 500 Faulconer Dr Ste 200, Charlottesville, VA 22903 |
| Enumerated | September 21, 2011 |
| Last updated | April 21, 2025 |
| Authorized official | Jesse Moore, Chief Administrative Officer |
| Other names | Dierksen Memorial Hospice |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.