Provider Demographics
NPI:1568884153
Name:ACCORD HOSPICE OF MANHATTAN. LLC
Entity Type:Organization
Organization Name:ACCORD HOSPICE OF MANHATTAN. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DIEDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KEARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-920-8875
Mailing Address - Street 1:3246 KIMBALL AVE
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503-2157
Mailing Address - Country:US
Mailing Address - Phone:785-376-0346
Mailing Address - Fax:785-594-1360
Practice Address - Street 1:3246 KIMBALL AVE
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66503-2157
Practice Address - Country:US
Practice Address - Phone:785-376-0346
Practice Address - Fax:785-594-1360
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCORD HOME HEALTH & HOSPICE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-15
Last Update Date:2022-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based