Provider Demographics
NPI:1013527225
Name:OSPREY HOSPICE LLC
Entity Type:Organization
Organization Name:OSPREY HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MAIMON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-768-6172
Mailing Address - Street 1:758 ROUTE 18 STE 103B
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-4936
Mailing Address - Country:US
Mailing Address - Phone:732-955-6648
Mailing Address - Fax:732-955-6673
Practice Address - Street 1:758 ROUTE 18 STE 103B
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-4936
Practice Address - Country:US
Practice Address - Phone:732-955-6648
Practice Address - Fax:732-955-6673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-03
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based