Provider Demographics
NPI:1992754436
Name:HOSPICE OF CUMBERLAND COUNTY, INC.
Entity type:Organization
Organization Name:HOSPICE OF CUMBERLAND COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:CASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-484-4748
Mailing Address - Street 1:30 E ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-4802
Mailing Address - Country:US
Mailing Address - Phone:931-484-4748
Mailing Address - Fax:931-456-7882
Practice Address - Street 1:30 E ADAMS ST
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-4802
Practice Address - Country:US
Practice Address - Phone:931-484-4748
Practice Address - Fax:931-456-7882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN100226882251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0098081Medicaid
TN441511Medicare ID - Type UnspecifiedHOSPICE