Provider Demographics
NPI:1497746234
Name:HOSPICE 2000, INC.
Entity Type:Organization
Organization Name:HOSPICE 2000, INC.
Other - Org Name:HOSPICE OF NORTHEAST MISSOURI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-627-9711
Mailing Address - Street 1:201 S BALTIMORE ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:KIRKSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63501-3751
Mailing Address - Country:US
Mailing Address - Phone:660-627-9711
Mailing Address - Fax:660-627-7005
Practice Address - Street 1:201 S BALTIMORE ST
Practice Address - Street 2:SUITE C
Practice Address - City:KIRKSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63501-3751
Practice Address - Country:US
Practice Address - Phone:660-627-9711
Practice Address - Fax:660-627-7005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-01
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO00010563251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO827958802Medicaid
MO827958802Medicaid