Provider Demographics
NPI:1730386426
Name:HOMEWARD BOUND HOSPICE, INC.
Entity type:Organization
Organization Name:HOMEWARD BOUND HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:CHERYL
Authorized Official - Last Name:ANKROM-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:816-232-6800
Mailing Address - Street 1:700 BENJAMIN AVE
Mailing Address - Street 2:
Mailing Address - City:GOWER
Mailing Address - State:MO
Mailing Address - Zip Code:64454-9307
Mailing Address - Country:US
Mailing Address - Phone:816-424-3950
Mailing Address - Fax:
Practice Address - Street 1:3501 GENE FIELD RD
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-1804
Practice Address - Country:US
Practice Address - Phone:816-232-6800
Practice Address - Fax:816-232-6300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based