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NPI 1497445522 · live from the CMS NPI Registry

Community Care Hospice INC

Hospice Care, Community Based in Pocatello, ID. National Provider Identifier 1497445522, active.

NPI record

NPI1497445522 Type 2 · organization
StatusActive
Primary specialtyHospice Care, Community Based 251G00000X
Practice location151 N 3rd Ave Ste 202a, Pocatello, ID 83201
Practice phone206-606-3632
EnumeratedMay 11, 2023
Last updatedMay 11, 2023
Authorized officialHranush Keshish Ghukasyan, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Hospice Care, Community Based primary251G00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.