Provider Demographics
NPI:1437435708
Name:NEW HOPE HOSPICE OF BULLHEAD CITY INC
Entity Type:Organization
Organization Name:NEW HOPE HOSPICE OF BULLHEAD CITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMBERLY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SEELE
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:315-815-3500
Mailing Address - Street 1:2191 LEMAY FERRY RD STE. 300
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63125-2408
Mailing Address - Country:US
Mailing Address - Phone:314-815-3500
Mailing Address - Fax:314-815-3207
Practice Address - Street 1:3550 NORTH LANE, STE 102, 104, 106, 108
Practice Address - Street 2:
Practice Address - City:BULLHEAD CITY
Practice Address - State:AZ
Practice Address - Zip Code:86442-9114
Practice Address - Country:US
Practice Address - Phone:928-444-8122
Practice Address - Fax:928-444-8155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-31
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHSPC5120251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based