Provider Demographics
NPI:1952574428
Name:HOPE HOSPICE, INC.
Entity Type:Organization
Organization Name:HOPE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PURKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-224-4673
Mailing Address - Street 1:1476 W 18TH ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:IN
Mailing Address - Zip Code:46975-7939
Mailing Address - Country:US
Mailing Address - Phone:574-224-4673
Mailing Address - Fax:
Practice Address - Street 1:1476 W 18TH STREET
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:IN
Practice Address - Zip Code:46975-1242
Practice Address - Country:US
Practice Address - Phone:574-224-4673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-07
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200145090AMedicaid
IN200145090AMedicaid
IN151562Medicare PIN