Organization Active NPI

Hospice of Washington DC, LLC

  • Community Based Hospice Care Agency
  • Washington, DC
National Provider Identifier
1699048082
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE OF WASHINGTON DC, LLC
Practice address
1310 Southern Ave SE
Suite 2005
Washington, DC 20032-4623
Phone
(904) 493-6748
NPI assigned
Feb 15, 2012
Last updated
Aug 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Richard Fogle
Title
Cfo
Phone
(904) 493-6748

Specialties & licenses 1

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

Addresses

Primary practice location

1310 Southern Ave SE
Suite 2005
Washington, DC 20032-4623

Mailing address

50 N Laura St
Suite 1800
Jacksonville, FL 32202-3664
Phone (904) 493-6745

National Provider Directory

National Provider Directory

Locations

1310 Southern Ave SE
Ste 2005
Washington, DC 20032
Phone (904) 493-6748

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1699048082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N LAURA ST",
            "address_2": "SUITE 1800",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023664",
            "telephone_number": "904-493-6745",
            "fax_number": "904-262-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SOUTHERN AVE SE",
            "address_2": "SUITE 2005",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324623",
            "telephone_number": "904-493-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF WASHINGTON DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "FOGLE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "904-493-6748"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.