Provider Demographics
NPI:1376721068
Name:HOSPICE OF ALAMANCE-CASWELL FOUNDATION, INC.
Entity Type:Organization
Organization Name:HOSPICE OF ALAMANCE-CASWELL FOUNDATION, INC.
Other - Org Name:LIFEPATH HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:BARCUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-532-0120
Mailing Address - Street 1:914 CHAPEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-6715
Mailing Address - Country:US
Mailing Address - Phone:336-532-0100
Mailing Address - Fax:336-532-0058
Practice Address - Street 1:914 CHAPEL HILL RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-6715
Practice Address - Country:US
Practice Address - Phone:336-532-0100
Practice Address - Fax:336-532-0058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408381Medicaid