Provider Demographics
NPI:1033280151
Name:NURSING PLACEMENT HOSPICE AND PALLIATIVE CARE LLC
Entity Type:Organization
Organization Name:NURSING PLACEMENT HOSPICE AND PALLIATIVE CARE LLC
Other - Org Name:HOSPICE OF NURSING PLACEMENT INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BIGNEY
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:401-728-6500
Mailing Address - Street 1:334 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-3821
Mailing Address - Country:US
Mailing Address - Phone:401-728-6500
Mailing Address - Fax:401-728-6509
Practice Address - Street 1:334 EAST AVE
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860
Practice Address - Country:US
Practice Address - Phone:401-728-6500
Practice Address - Fax:401-728-6509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-11
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIHSP01616251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI41-01508Medicaid
RI411508Medicare ID - Type UnspecifiedMEDICARE