Organization
365 HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN C REZK (CFO)
(814) 946-5017
Entity
Organization
Contact information
Practice address
1315 W COLLEGE AVE STE 303, STATE COLLEGE, PA 16801-2776
(814) 946-5017
(814) 308-9947
Mailing address
119 S MAIN ST, CARROLLTOWN, PA 15722-0477
(814) 419-4901
(814) 419-4902
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020513330001
—
PA
01
—
16911601
STATE OF PENNSYLVANIA
PA
Enumeration date
05/17/2007
Last updated
09/12/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us