Crater Community Hospice Inc in Petersburg - Hospice Care, Community Based
Crater Community Hospice Inc - NPI 1962407700
Crater Community Hospice Inc is a Hospice Care, Community Based in Petersburg, Virginia. Crater Community Hospice Inc practices all healthcare services and medical treatments related to Hospice Care, Community Based. The NPI Number for Crater Community Hospice Inc is 1962407700. The last update date is 2010-06-09.
Crater Community Hospice Inc's current location address is 3916 S Crater Rd, Petersburg, Virginia. You can contact this provider via phone number 8045264300 and fax number 8045264337. The mailing address for Crater Community Hospice Inc is 3916 S Crater Rd, Petersburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crater Community Hospice Inc |
|---|---|
| Address | 3916 S Crater Rd, Petersburg, Virginia |
| Phone Number | 8045264300 |
| Fax Number | 8045264337 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Mitchell D. Brenda |
| Credentials | RN, MSN, C |
| Telephone Number | 8045264300 |
NPI Number Detail
| NPI Number | 1962407700 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2010-06-09 |
Provider Mailing Address Detail
| Address | 3916 S Crater Rd |
|---|---|
| City | Petersburg |
| State | Virginia (VA) |
| Post Code | 2380592020 |
| Phone Number | 8045264300 |
| Fax Number | 8045264337 |
Provider's Primary Taxonomy Detail
| Speciality | Hospice Care, Community Based |
|---|---|
| Taxonomy | 251G00000X |
| Licence No | 0515-15 |
|
Definition: Provides palliative care to terminally ill patients to manage pain and symptoms and support quality of life. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 337221 | BLUE CROSS PROVIDER ID | ||
| 4910192 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Crater Community Hospice Inc by the Centers for Medicare & Medicaid Services?
The Crater Community Hospice Inc has been assigned the NPI (National Provider Identifier) 1962407700 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Crater Community Hospice Inc?
The Crater Community Hospice Inc is physically situated at 3916 S Crater Rd, in the city of Petersburg, state of VA, with the postal code 2380592020.
What is Crater Community Hospice Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Crater Community Hospice Inc is Hospice Care, Community Based, and the corresponding taxonomy classification code for this specialized field is 251G00000X.
On what date did the Crater Community Hospice Inc receive its 1962407700 assignment from the Centers for Medicare & Medicaid Services?
The Crater Community Hospice Inc was assigned its 1962407700 by the Centers for Medicare & Medicaid Services on 2005-06-17.
As of what date was the information pertaining to Crater Community Hospice Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Crater Community Hospice Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-06-09.
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