Provider Demographics
NPI:1538106018
Name:HOSPICE PREFERRED CHOICE, INC.
Entity type:Organization
Organization Name:HOSPICE PREFERRED CHOICE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SVP TAX
Authorized Official - Prefix:
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MIGLICCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-299-3803
Mailing Address - Street 1:8401 N KENTUCKY AVE STE G
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47725-6301
Mailing Address - Country:US
Mailing Address - Phone:812-858-1032
Mailing Address - Fax:
Practice Address - Street 1:6724 E MORGAN AVE STE A
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-8228
Practice Address - Country:US
Practice Address - Phone:812-858-1032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOMECARE PREFERRED CHOICE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-01
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200519300AMedicaid
IN151590Medicare Oscar/Certification