Provider Demographics
NPI:1134937204
Name:HOSPICE OF THE PIEDMONT
Entity type:Organization
Organization Name:HOSPICE OF THE PIEDMONT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:TRENTON
Authorized Official - Last Name:COCKERHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-889-8446
Mailing Address - Street 1:1801 WESTCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7374
Mailing Address - Country:US
Mailing Address - Phone:336-889-8446
Mailing Address - Fax:
Practice Address - Street 1:1801 WESTCHESTER DR
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7374
Practice Address - Country:US
Practice Address - Phone:336-414-5158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care