Provider Demographics
NPI:1750042784
Name:MORNING STAR HOSPICE AND PALLIATIVE CARE IN LLC
Entity type:Organization
Organization Name:MORNING STAR HOSPICE AND PALLIATIVE CARE IN LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:CASEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-415-1138
Mailing Address - Street 1:1128 E WINONA AVE STE B1
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:IN
Mailing Address - Zip Code:46580-4605
Mailing Address - Country:US
Mailing Address - Phone:574-377-5863
Mailing Address - Fax:574-566-1529
Practice Address - Street 1:1128 E WINONA AVE STE B
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:IN
Practice Address - Zip Code:46580-4605
Practice Address - Country:US
Practice Address - Phone:574-377-5863
Practice Address - Fax:574-566-1529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-03
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based