Morselife Hospice Institute, Inc.

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

MORSELIFE HOSPICE INSTITUTE, INC.

Practice address

4855 Fred Gladstone Dr
West Palm Beach, FL 33417

Phone

(561) 736-0294

Fax

(561) 369-3544

NPI assigned

Jun 8, 2011

Organization subpart

No

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

Authorized official

Name

Randy Wolan

Title

Controller

Phone

(561) 209-6108

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Comprehensive outpatient rehabilitation facility certification: CCN 683245

Legal name

MORSELIFE HOME CARE

Certification status

Active

Provider type (POS)

Comprehensive outpatient rehabilitation facility

Participating since

Jan 17, 2007

Last certification

Dec 1, 2023

Ownership / control type

Other

Most recent change of ownership

Nov 1, 2011

Facility address

4855 Fred Gladston Dr
West Palm Beach, FL 33417

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Morselife Home Care Inc.

  • Home Health Agency
  • West Palm Beach, FL
  • NPI 1558485722

  Member Of

  NPD member

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1306130281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4847 DAVID S MACK DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334178023",
            "telephone_number": "561-209-6108",
            "fax_number": "651-689-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 FRED GLADSTONE DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33417",
            "telephone_number": "561-736-0294",
            "fax_number": "561-369-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORSELIFE HOSPICE INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "WOLAN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "561-209-6108"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Catherine Callaghan Morris, PHARM.D.
• Sharkeisha Danielle Morris, MSW, LCSW
• Niamani Morrison
• Jaime Nicole Morse, M.S. CF SLP
• Morselife Home Care Inc.
• Morselife Hospice Institute, Inc.
• Morselife Hospice Institute, Inc.
• Morselife Housing Corporation
• Morselife Housing Corporation, Inc.
• Sharon Rosemarie Mortimer, LCSW

• Comprehensive Outpatient Rehabilitation Facility (CORF) in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.