NPIMap

Organization Active NPI

Cameron Memorial Community Hospital, Inc

Doing business as Cameron Hospice

  • Community Based Hospice Care Agency
  • Angola, IN
National Provider Identifier
1386604429
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CAMERON MEMORIAL COMMUNITY HOSPITAL, INC
Doing business as
Cameron Hospice
Practice address
416 E Maumee St
Angola, IN 46703-2015
Phone
(260) 665-2141
Fax
(260) 665-8608
NPI assigned
Mar 24, 2006
Last updated
Jan 31, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CAMERON MEMORIAL COMMUNITY HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Authorized official

Name
Elizabeth Tanner
Title
Accountant
Phone
(260) 667-5335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

416 E Maumee St
Angola, IN 46703-2015

Mailing address

416 E Maumee St
Angola, IN 46703-2015
Phone (260) 665-2141

Other names 1

  • Cameron Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
Cameron Memorial Community Hospital Inc

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Mar 15, 2020 Change of OwnershipThis provider was the seller Heart to Heart Hospice of Eastern Indiana, LLCCCN 151561, IN, NPI 1841821741

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1386604429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 E MAUMEE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467032015",
            "telephone_number": "260-665-2141",
            "fax_number": "260-665-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E MAUMEE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467032015",
            "telephone_number": "260-665-2141",
            "fax_number": "260-665-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMERON MEMORIAL COMMUNITY HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAMERON MEMORIAL COMMUNITY HOSPITAL, INC",
        "enumeration_date": "2006-03-24",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "260-667-5335"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cameron Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Angola, IN

Sources for this page

Verify at the official NPI Registry.