Provider Demographics
NPI:1316221716
Name:AMERICAN HOSPICE & PALLIATIVE CARE, INC.
Entity Type:Organization
Organization Name:AMERICAN HOSPICE & PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FAREED
Authorized Official - Middle Name:
Authorized Official - Last Name:BHUTTO
Authorized Official - Suffix:
Authorized Official - Credentials:ADMIN
Authorized Official - Phone:812-282-2218
Mailing Address - Street 1:1035 WALL ST STE 104-C1
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-3612
Mailing Address - Country:US
Mailing Address - Phone:812-282-2218
Mailing Address - Fax:812-282-2252
Practice Address - Street 1:1035 WALL ST STE 104-C1
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-3612
Practice Address - Country:US
Practice Address - Phone:812-282-2218
Practice Address - Fax:812-282-2252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based