Provider Demographics
NPI:1750328365
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 1:40 WASHINGTON ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WELLESLEY HILLS
Mailing Address - State:MA
Mailing Address - Zip Code:02481-1805
Mailing Address - Country:US
Mailing Address - Phone:781-235-0203
Mailing Address - Fax:
Practice Address - Street 1:40 WASHINGTON ST
Practice Address - Street 2:SUITE 100
Practice Address - City:WELLESLEY HILLS
Practice Address - State:MA
Practice Address - Zip Code:02481-1805
Practice Address - Country:US
Practice Address - Phone:781-235-0203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOMECARE PREFERRED CHOICE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-01
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0608181Medicaid
MA221558Medicare Oscar/Certification