Provider Demographics
NPI:1154152544
Name:ARC HOSPICE OF NE LLC
Entity type:Organization
Organization Name:ARC HOSPICE OF NE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:AVRAHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:VAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-968-5178
Mailing Address - Street 1:100 CHALLENGER RD STE 105
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD PK
Mailing Address - State:NJ
Mailing Address - Zip Code:07660-2121
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 CHALLENGER RD STE 105
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD PK
Practice Address - State:NJ
Practice Address - Zip Code:07660-2121
Practice Address - Country:US
Practice Address - Phone:917-647-1536
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based