Provider Demographics
NPI:1558806356
Name:NEW HAVEN HOSPICE CARE INC
Entity Type:Organization
Organization Name:NEW HAVEN HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARPE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:573-237-2878
Mailing Address - Street 1:9503 HIGHWAY 100
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NEW HAVEN
Mailing Address - State:MO
Mailing Address - Zip Code:63068-1300
Mailing Address - Country:US
Mailing Address - Phone:573-237-2878
Mailing Address - Fax:
Practice Address - Street 1:9503 HIGHWAY 100
Practice Address - Street 2:SUITE 101
Practice Address - City:NEW HAVEN
Practice Address - State:MO
Practice Address - Zip Code:63068-1300
Practice Address - Country:US
Practice Address - Phone:573-237-2878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-03
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based