Provider Demographics
NPI:1427051325
Name:CATHOLIC HOSPICE, INC
Entity type:Organization
Organization Name:CATHOLIC HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARISTIDES
Authorized Official - Middle Name:
Authorized Official - Last Name:PALLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-822-2380
Mailing Address - Street 1:14875 NW 77TH AVE
Mailing Address - Street 2:STUITE 100
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2568
Mailing Address - Country:US
Mailing Address - Phone:305-822-2380
Mailing Address - Fax:305-819-2281
Practice Address - Street 1:14875 NW 77TH AVE
Practice Address - Street 2:STE 100
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2568
Practice Address - Country:US
Practice Address - Phone:305-822-2380
Practice Address - Fax:305-819-2281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5004095251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL087569400Medicaid
FL101530Medicare PIN