Provider Demographics
NPI:1982036414
Name:JOURNEY OF HOPE HOSPICE
Entity Type:Organization
Organization Name:JOURNEY OF HOPE HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:MCKEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-795-3073
Mailing Address - Street 1:475 E TABERNACLE ST
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-2941
Mailing Address - Country:US
Mailing Address - Phone:435-703-9285
Mailing Address - Fax:435-703-9286
Practice Address - Street 1:475 E TABERNACLE ST
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-2941
Practice Address - Country:US
Practice Address - Phone:435-703-9285
Practice Address - Fax:435-703-9286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-07
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2013HOSPICEUT000602251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based