Provider Demographics
NPI:1518974609
Name:HOSPICE OF WAKE COUNTY, INC.
Entity Type:Organization
Organization Name:HOSPICE OF WAKE COUNTY, INC.
Other - Org Name:TRANSITIONS HOSPICECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF FINANCE AND OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:TONI
Authorized Official - Middle Name:
Authorized Official - Last Name:MESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-828-0890
Mailing Address - Street 1:250 HOSPICE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6372
Mailing Address - Country:US
Mailing Address - Phone:919-828-0890
Mailing Address - Fax:919-719-0395
Practice Address - Street 1:250 HOSPICE CIRCLE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6372
Practice Address - Country:US
Practice Address - Phone:919-828-0890
Practice Address - Fax:919-719-0395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHOS1595251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC32734OtherPARTNERS
NC0022NOtherBLUE CROSS BLUE SHIELD
NC8353632OtherUNITED HEALTHCARE
NC31025OtherWELLPATH
NC3401523Medicaid
NC00606OtherAETNA HEALTH CARE
NC6407127OtherCIGNA
NC341523Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER