Provider Demographics
NPI:1437523370
Name:BLESSED TRINITY HOSPICE, INC.
Entity Type:Organization
Organization Name:BLESSED TRINITY HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-947-7700
Mailing Address - Street 1:19401 E US HIGHWAY 40
Mailing Address - Street 2:STE 152
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-5451
Mailing Address - Country:US
Mailing Address - Phone:816-363-1560
Mailing Address - Fax:816-363-2107
Practice Address - Street 1:19401 E US HIGHWAY 40
Practice Address - Street 2:STE 152
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-5451
Practice Address - Country:US
Practice Address - Phone:816-363-1560
Practice Address - Fax:816-363-2107
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BLESSED TRINITY HOSPICE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-11-16
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1720475718OtherNPI