Provider Demographics
NPI:1649916982
Name:HOSPICE OF THE PLAINS, INC.
Entity type:Organization
Organization Name:HOSPICE OF THE PLAINS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:STORCH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:970-526-7901
Mailing Address - Street 1:100 BROADWAY ST STE 1A
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:CO
Mailing Address - Zip Code:80751-2706
Mailing Address - Country:US
Mailing Address - Phone:970-526-7901
Mailing Address - Fax:
Practice Address - Street 1:645 OSAGE ST STE 1
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:NE
Practice Address - Zip Code:69162-1711
Practice Address - Country:US
Practice Address - Phone:308-203-4065
Practice Address - Fax:308-203-4064
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOSPICE OF THE PLAINS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-10
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEHOSPICE70OtherNEBRASKA STATE LICENSURE