NPI 1659365864 · live from the CMS NPI Registry
Hospice Advantage, LLC
Hospice Care, Community Based in Sheboygan, WI. National Provider Identifier 1659365864, active.
NPI record
| NPI | 1659365864 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 1026 S Taylor Dr, Sheboygan, WI 53081 |
| Practice phone | 920-452-1851 |
| Enumerated | September 1, 2005 |
| Last updated | January 10, 2013 |
| Authorized official | Jody Holman, Administrator |
| Other names | Hospice Advantage, INC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | 2010 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.