Lifepath Hospice and Palliative Care, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LIFEPATH HOSPICE AND PALLIATIVE CARE, INC

Practice address

115 S Missouri Ave
Suite 500
Lakeland, FL 33815-4600

Phone

(863) 682-0027

NPI assigned

Feb 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

George H Wallace

Title

Evp Finance and Operations

Phone

81387187777

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134255979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S MISSOURI AVE",
            "address_2": "SUITE 500",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338154600",
            "telephone_number": "863-682-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S MISSOURI AVE",
            "address_2": "SUITE 500",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338154600",
            "telephone_number": "863-682-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPATH HOSPICE AND PALLIATIVE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EVP FINANCE AND OPERATIONS",
        "authorized_official_telephone_number": "81387187777"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.