Provider Demographics
NPI:1851997852
Name:ADVANCED HOSPICE LLC
Entity Type:Organization
Organization Name:ADVANCED HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-344-4100
Mailing Address - Street 1:290 BILMAR DR STE 301
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-4601
Mailing Address - Country:US
Mailing Address - Phone:412-710-7300
Mailing Address - Fax:412-710-7299
Practice Address - Street 1:290 BILMAR DR STE 301
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-4601
Practice Address - Country:US
Practice Address - Phone:412-710-7300
Practice Address - Fax:412-710-7299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-07
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based