Provider Demographics
NPI:1033439831
Name:SUNSET HOSPICE INC
Entity Type:Organization
Organization Name:SUNSET HOSPICE INC
Other - Org Name:CENTRIC HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HR DIRECTOR/SUPPORT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:D
Authorized Official - Last Name:ASHLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-458-9012
Mailing Address - Street 1:1605 N WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:DURANT
Mailing Address - State:OK
Mailing Address - Zip Code:74701-2129
Mailing Address - Country:US
Mailing Address - Phone:855-942-3687
Mailing Address - Fax:855-710-7022
Practice Address - Street 1:1605 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:DURANT
Practice Address - State:OK
Practice Address - Zip Code:74701-2129
Practice Address - Country:US
Practice Address - Phone:855-942-3687
Practice Address - Fax:855-710-7022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-03
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No302R00000XManaged Care OrganizationsHealth Maintenance Organization