1487747549 NPI number — HARMONY CARE HOSPICE, INC.

Table of content: SANDRA SALDANA CERVANTES MD (NPI 1487855854)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487747549 NPI number — HARMONY CARE HOSPICE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARMONY CARE HOSPICE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487747549
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 ASHLAND PARK LN
Provider Second Line Business Mailing Address:
SUITE K
Provider Business Mailing Address City Name:
COLUMBIA
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29210-5100
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-772-8505
Provider Business Mailing Address Fax Number:
803-772-7717

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 ASHLAND PARK LN
Provider Second Line Business Practice Location Address:
SUITE K
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29210-5100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-772-8505
Provider Business Practice Location Address Fax Number:
803-772-7717
Provider Enumeration Date:
10/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BURTON
Authorized Official First Name:
DANIEL
Authorized Official Middle Name:
JASON
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
803-772-8505

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: HSP-069 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".




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