| Organization Name: | HOLY REDEEMER HOSPICE INC. |
| NPI Number: | 1376517011 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUSSELL R WAGNER (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 150 E 9th Ave Runnemede |
| State: | NJ US |
| Postal Code: | 080781126 |
| Phone Number: | 8002558986 |
| Fax Number: | 8569394040 |
| NPI Enumeration Date: | 02/16/2006 |
| NPI Last Update Date: | 03/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 22794 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |