institution
Kosciusko Home Care & Hospice Inc
Community Based Hospice Care Agency in Warsaw, Indiana
NPI 1992857973

Kosciusko Home Care & Hospice Inc is a Community Based Hospice Care Agency based in Warsaw, IN. Kosciusko Home Care & Hospice Inc practices in Warsaw, IN. The NPI Number for Kosciusko Home Care & Hospice Inc is 1992857973 and holds a License No. 080052681 (Indiana).

The current practice location address for Kosciusko Home Care & Hospice Inc is 1515 Provident Dr, Warsaw, IN and can be reached out via phone at 574-372-3401 and via fax at 574-372-3415.

Location: 1515 Provident Dr, Warsaw, IN, 46580-3294
institution
Provider Profile Details
NPI Number
1992857973
Provider Name
Kosciusko Home Care & Hospice Inc
Credential
Provider Entity Type
Organization
Address
1515 Provident Dr, Warsaw, IN, 46580-3294
Phone Number
574-372-3401
Fax Number
574-372-3415
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100272800 05 IN
174186 01 ANTHEM BCBS
100272790 05 IN
200297120 05 IN
institution
Provider Business Practice Location Address Details
Address
1515 Provident Dr
City
State
Zip
46580-3294
Phone Number
574-372-3401
Fax Number
574-372-3415
person
Provider Business Mailing Address Details
Address
1515 Provident Dr
City
State
Zip
46580-3294
Phone Number
574-372-3401
Fax Number
574-372-3415
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
070095111 (Indiana)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
License No.
080052681 (Indiana)
Definition
Definition to come...
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