1730185737 NPI number — HOSPICARE AND PALLIATIVE CARE SERVICES OF TOMPKINS COUNTY, INC.

Table of content: (NPI 1730185737)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730185737 NPI number — HOSPICARE AND PALLIATIVE CARE SERVICES OF TOMPKINS COUNTY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOSPICARE AND PALLIATIVE CARE SERVICES OF TOMPKINS COUNTY, 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:
6
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:
1730185737
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/22/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
172 KING RD E
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ITHACA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14850-9403
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
607-272-0212
Provider Business Mailing Address Fax Number:
607-272-3785

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
172 E KING RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ITHACA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14850-9403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-272-0212
Provider Business Practice Location Address Fax Number:
607-272-0237
Provider Enumeration Date:
06/23/2005

Additional Information

Authorized Official

Authorized Official Last Name:
SAMMONS
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
607-272-0212

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X , with the licence number:  5401501F , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 00955817 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com