NPI 1417084765 · live from the CMS NPI Registry
Eureka Springs Hospital Hospice, LLC
Hospice Care, Community Based in Springdale, AR. National Provider Identifier 1417084765, active.
NPI record
| NPI | 1417084765 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 4847 Kaylee Ave Ste A, Springdale, AR 72762 |
| Practice phone | 479-751-3019 |
| Mailing address | Po Box 51266, Lafayette, LA 70505 |
| Enumerated | February 27, 2007 |
| Last updated | February 13, 2024 |
| Authorized official | Joshua Proffitt, President |
| Other names | Elite Hospice |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | AR4472 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.