BEACON OF HOPE HOSPICE, INC. (NPI# 1639175599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639175599 |
Entity Type | Organization |
Organization Name | BEACON OF HOPE HOSPICE, INC. |
Practice Address |
1020 West 35th Street Davenport IA 52806-4440 |
Mailing Address |
2191 Lemay Ferry Rd Suite 300 Saint Louis MO 63125-2408 |
Practice Telephone | 5633916933 |
Practice Fax Number | 5633915104 |
Mailing Telephone | 3148153500 |
Mailing Fax Number | 3148153207 |
Enumeration Date | 2005-06-24 |
Last Update Date | 2008-04-20 |
Authorized Official Name | MRS. DAWN E. MULLINS (PRESIDENT/CEO) |
Authorized Official Telephone | 3148153000 |
Authorized Official Credential | R.N., B.S.N. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251G00000X | Hospice Care, Community Based | 41537899 | IL | Agencies |
Y | 251G00000X | Hospice Care, Community Based | 2698587 | IA | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | MEDICAID | 0615526 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669413555 | Beacon of Hope Hospice, Inc. | Hospice Care, Community Based | 1318 Ravenwood Rd, Waterloo, IA 50702-5447 | 2006-06-09 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | BEACON OF HOPE HOSPICE, INC. | 2191 Lemay Ferry Rd Suite 300, St. Louis, MO 63125 |
Street Address |
1020 WEST 35TH STREET |
City | DAVENPORT |
State | IA |
Zip Code | 52806-4440 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912543257 | June Swain | Nurse Practitioner | Quad City Family Physician, 3940 Marquette Street, Davenport, IA 52806 | 2019-11-21 |
1881055747 | Jace Carter | Chiropractor | 235 West 35th Street Suite 2d, Davenport, IA 52806 | 2016-03-18 |
1538468210 | Cody Krech | Dentist | 141 E 46th St, Davenport, IA 52806 | 2011-03-21 |
1619287216 | Robert Earl Clark | Occupational Therapist | 6623 N Main St, Davenport, IA 52806 | 2010-10-15 |
1689902579 | Nicholas P. Carlson | Nurse Practitioner | 3801 Marguette Street, Suite 200, Davenport, IA 52806 | 2009-12-03 |
1295821114 | David Lee Botsko | Dentist | 2334 W. Kimberly Road, Davenport, IA 52806 | 2006-10-05 |
1598712903 | Select Specialty Hospital - Quad Cities Inc | Long Term Care Hospital | 1111 West Kimberly Road, Davenport, IA 52806 | 2006-05-30 |
1528030350 | Warren Wright | Occupational Therapist | 1008 W 35th St, Davenport, IA 52806 | 2006-02-06 |
1144291568 | Gerald Wallace Hess | Chiropractor | 2711 W 63rd St, Ste #1, Davenport, IA 52806 | 2006-02-01 |
1487642286 | Virginia Armstrong | Chiropractor | 4811 N Brady St Ste 1a, Davenport, IA 52806 | 2005-10-06 |
Find all providers in zip 52806 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376840645 | Relay Staffing Solutions Inc | Hospice Care, Community Based | 933 E 53rd St, Suite A, Davenport, IA 52807-2665 | 2011-02-22 |
1215980891 | Heartland Hospice Services LLC | Hospice Care, Community Based | 4340 E 53rd St, Davenport, IA 52807-3039 | 2006-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427665603 | Hillcrest Hospice LLC | Hospice Care, Community Based | 1702 W Broadway Ste 7, Council Bluffs, IA 51501-3867 | 2020-09-30 |
1144868928 | Physmed Iowa LLC | Hospice Care, Community Based | 1130 S Scott Blvd Ste 201, Iowa City, IA 52240-2908 | 2019-12-12 |
1750926481 | Moments Hospice of Des Moines LLC | Hospice Care, Community Based | 4150 Westown Pkwy Ste 106, West Des Moines, IA 50266-5901 | 2019-11-18 |
1285197160 | Visiting Nurse Services of Iowa | Hospice Care, Community Based | 118 N. Main Street, Mount Pleasant, IA 52641-2052 | 2019-04-09 |
1053877332 | Cedar Valley Hospice, LLC | Hospice Care, Community Based | 1850 Boyson Rd Ste A, Hiawatha, IA 52233-2316 | 2019-02-12 |
1598278434 | Mary Melissa Buchanan | Hospice Care, Community Based | 6101 Goodman Dr, Urbandale, IA 50322 | 2017-11-14 |
1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
1588191829 | Unitypoint At Home | Hospice Care, Community Based | 290 Blairs Ferry Rd Ne Ste 100, Cedar Rapids, IA 52402-1618 | 2017-05-17 |
1043757495 | Avalon Hospice Iowa, LLC | Hospice Care, Community Based | 4601 Westown Pkwy, Suite 105, West Des Moines, IA 50266-1081 | 2017-01-24 |
1023401254 | Hospice of The Midwest, LLC | Hospice Care, Community Based | 9203 Northpark Dr, Johnston, IA 50131-2933 | 2015-03-12 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.