Provider Demographics
NPI:1164509329
Name:HOPE HOSPICE INC
Entity Type:Organization
Organization Name:HOPE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BILBREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-984-9800
Mailing Address - Street 1:13537 BARRETT PARKWAY DRIVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63021
Mailing Address - Country:US
Mailing Address - Phone:314-984-9800
Mailing Address - Fax:314-984-9672
Practice Address - Street 1:13537 BARRETT PARKWAY
Practice Address - Street 2:SUITE 210
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63021
Practice Address - Country:US
Practice Address - Phone:314-984-9800
Practice Address - Fax:314-984-9672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO26-1620Medicare ID - Type Unspecified