Provider Demographics
NPI:1750328134
Name:ASERACARE HOSPICE - NEW HORIZONS, LLC
Entity Type:Organization
Organization Name:ASERACARE HOSPICE - NEW HORIZONS, LLC
Other - Org Name:AMEDISYS HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERVISOR, REGULATORY REPORTING
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:U
Authorized Official - Last Name:GOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-299-3701
Mailing Address - Street 1:3901 CENTRAL PIKE STE 259
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-3421
Mailing Address - Country:US
Mailing Address - Phone:615-316-2243
Mailing Address - Fax:
Practice Address - Street 1:3901 CENTRAL PIKE STE 259
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-3421
Practice Address - Country:US
Practice Address - Phone:615-316-2243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOSPICE OF EASTERN CAROLINA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-02
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4088751OtherBCBS
TNOMNI-=========Medicaid