Intelicare Hospice Services III, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

INTELICARE HOSPICE SERVICES III, LLC

Practice address

6060 Torrey Rd Ste J
Flint, MI 48507-5963

Phone

(810) 219-2001

Fax

(810) 219-2072

NPI assigned

Aug 25, 2020

Last updated

Aug 25, 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

Toni Lynn Walker

Title

Senior VP of Operations

Phone

(989) 941-9975

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1578176038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 CONGRESS AVE STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872840",
            "telephone_number": "561-877-2132",
            "fax_number": "561-880-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 TORREY RD STE J",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485075963",
            "telephone_number": "810-219-2001",
            "fax_number": "810-219-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELICARE HOSPICE SERVICES III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TONI LYNN",
        "authorized_official_title_or_position": "SENIOR VP OF OPERATIONS",
        "authorized_official_telephone_number": "989-941-9975"
    },
    "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 25, 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.