NPI 1205433778 · live from the CMS NPI Registry
Great Lakes Hospice LLC
Hospice Care, Community Based in Glendale, WI. National Provider Identifier 1205433778, active.
NPI record
| NPI | 1205433778 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 5150 N Port Washington Rd Ste 152, Glendale, WI 53217 |
| Practice phone | 262-349-5753 |
| Enumerated | October 7, 2020 |
| Last updated | February 7, 2024 |
| Authorized official | Jeffrey Hoehn, Coo |
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.