Provider Demographics
NPI:1225017759
Name:HOSPICE OF THE PIEDMONT, INC.
Entity type:Organization
Organization Name:HOSPICE OF THE PIEDMONT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:336-889-8446
Mailing Address - Street 1:1801 WESTCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7009
Mailing Address - Country:US
Mailing Address - Phone:336-889-8446
Mailing Address - Fax:336-889-3450
Practice Address - Street 1:1801 WESTCHESTER DR
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7009
Practice Address - Country:US
Practice Address - Phone:336-889-8446
Practice Address - Fax:336-889-3450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-12
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHOS1581251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3401511Medicaid
NC341511Medicare Oscar/Certification