Provider Demographics
NPI:1407503048
Name:COMMUNITY HOSPICE, INC.
Entity Type:Organization
Organization Name:COMMUNITY HOSPICE, INC.
Other - Org Name:HARMONY HOSPICE
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:LEESTMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-228-3551
Mailing Address - Street 1:181 W RIVER VALLEY DRIVE
Mailing Address - Street 2:
Mailing Address - City:NEWAYGO
Mailing Address - State:MI
Mailing Address - Zip Code:49337-9330
Mailing Address - Country:US
Mailing Address - Phone:231-689-6675
Mailing Address - Fax:
Practice Address - Street 1:181 W RIVER VALLEY DRIVE
Practice Address - Street 2:
Practice Address - City:NEWAYGO
Practice Address - State:MI
Practice Address - Zip Code:49337-9330
Practice Address - Country:US
Practice Address - Phone:231-689-6675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-03
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based