Provider Demographics
NPI:1366444630
Name:HOSPICE CHOICE INC
Entity Type:Organization
Organization Name:HOSPICE CHOICE INC
Other - Org Name:HOSPICE & PALLIATIVE CARE OF VIRGINIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-679-7212
Mailing Address - Street 1:PO BOX 349
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:VA
Mailing Address - Zip Code:24273-0349
Mailing Address - Country:US
Mailing Address - Phone:276-679-7212
Mailing Address - Fax:276-679-7245
Practice Address - Street 1:18 7TH ST NW
Practice Address - Street 2:SUITE 302
Practice Address - City:NORTON
Practice Address - State:VA
Practice Address - Zip Code:24273-1961
Practice Address - Country:US
Practice Address - Phone:276-679-7212
Practice Address - Fax:276-679-7245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-01
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0526-15251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004910087Medicaid
VA337550OtherANTHEM
VA491522Medicare ID - Type Unspecified