Provider Demographics
NPI:1710926654
Name:HOSPICE PREFERRED CHOICE, INC.
Entity Type:Organization
Organization Name:HOSPICE PREFERRED CHOICE, INC.
Other - Org Name:ASERACARE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:RASMUSSEN-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-201-4835
Mailing Address - Street 1:75 S HOUCKS RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-2835
Mailing Address - Country:US
Mailing Address - Phone:717-541-4466
Mailing Address - Fax:
Practice Address - Street 1:75 S HOUCKS RD
Practice Address - Street 2:SUITE 101
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-2835
Practice Address - Country:US
Practice Address - Phone:717-541-4466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOMECARE PREFERRED CHOICE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-06
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007726640004Medicaid
PA391607Medicare Oscar/Certification