Provider Demographics
NPI:1326041013
Name:HOSPICE OF RUTHERFORD COUNTY, INC.
Entity Type:Organization
Organization Name:HOSPICE OF RUTHERFORD COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-245-0095
Mailing Address - Street 1:374 HUDLOW RD
Mailing Address - Street 2:
Mailing Address - City:FOREST CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28043-9444
Mailing Address - Country:US
Mailing Address - Phone:828-245-0095
Mailing Address - Fax:828-248-1035
Practice Address - Street 1:374 HUDLOW RD
Practice Address - Street 2:
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-9444
Practice Address - Country:US
Practice Address - Phone:828-245-0095
Practice Address - Fax:828-248-1035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-27
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHOSO400174400000X
251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community Based
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCHSP039Medicaid
NC3401528Medicaid
NC0023GOtherBC/BS OF NC
NC3401528Medicaid
2336831Medicare ID - Type UnspecifiedPART B