Provider Demographics
NPI:1578613246
Name:HERNANDO-PASCO HOSPICE, INC.
Entity Type:Organization
Organization Name:HERNANDO-PASCO HOSPICE, INC.
Other - Org Name:F/K/A HPH HOMECARE OF HERNANDO
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF COMPLIANCE & CLINICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:PAMELA
Authorized Official - Last Name:SAUCIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-871-8031
Mailing Address - Street 1:12470 TELECOM DR STE 300W
Mailing Address - Street 2:ATTENTION: COMPLIANCE
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33637-0904
Mailing Address - Country:US
Mailing Address - Phone:727-863-7971
Mailing Address - Fax:727-868-9261
Practice Address - Street 1:6807 ROWAN RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-2952
Practice Address - Country:US
Practice Address - Phone:727-863-7971
Practice Address - Fax:727-868-9261
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HERNANDO-PASCO HOSPICE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-12
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
FLHHA299991486251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL028161100Medicaid
FL028161101Medicaid
107652OtherDEACTIVATED MEDICARE PART A NUMBER
FL1023277OtherACM UNITED HEALTHCARE
FL107652Medicare ID - Type UnspecifiedMEDICARE HOME HEALTH
FL028161100Medicaid