Provider Demographics
NPI:1861466047
Name:DAVIESS COUNTY HOSPITAL HELPING HEARTS HOSPICE
Entity Type:Organization
Organization Name:DAVIESS COUNTY HOSPITAL HELPING HEARTS HOSPICE
Other - Org Name:HELPING HEARTS HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD MEMEBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOWALTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-254-2760
Mailing Address - Street 1:PO BOX 760
Mailing Address - Street 2:
Mailing Address - City:WASHINGON
Mailing Address - State:IN
Mailing Address - Zip Code:47501-2120
Mailing Address - Country:US
Mailing Address - Phone:812-254-8950
Mailing Address - Fax:812-254-8957
Practice Address - Street 1:1314 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IN
Practice Address - Zip Code:47501-2120
Practice Address - Country:US
Practice Address - Phone:812-254-8950
Practice Address - Fax:812-254-8957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-15
Last Update Date:2021-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN050093721251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000098249OtherANTHEM
IN200107060AMedicaid
IN151553Medicare ID - Type Unspecified