Provider Demographics
NPI:1962609453
Name:HALLSWORTH HOSPICE LLC
Entity type:Organization
Organization Name:HALLSWORTH HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:D
Authorized Official - Last Name:NADEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-747-0946
Mailing Address - Street 1:459 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:BELLE VERNON
Mailing Address - State:PA
Mailing Address - Zip Code:15012-9605
Mailing Address - Country:US
Mailing Address - Phone:724-872-2208
Mailing Address - Fax:
Practice Address - Street 1:459 SUNSET DR
Practice Address - Street 2:
Practice Address - City:BELLE VERNON
Practice Address - State:PA
Practice Address - Zip Code:15012-9605
Practice Address - Country:US
Practice Address - Phone:724-872-2208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies