Organization Name: | COMPASSIONATE CARE HOSPICE OF THE MIDWEST, LLC |
NPI Number: | 1215930847 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDITH I GREY (COO) |
Mailing Address: | 3415 N Potsdam Ave Sioux Falls |
State: | SD US |
Postal Code: | 571047017 |
Phone Number: | 6053382066 |
Fax Number: | 6053713754 |
NPI Enumeration Date: | 05/27/2005 |
NPI Last Update Date: | 09/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |