Organization
GRACE HOSPICE OF INDIANA, LLC
Active
Organization
GRACE HOSPICE OF INDIANA, LLC
Active
Other names
Grace Hospice, HarmonyCares Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT VASEY (PRESIDENT - HOME HEALTH & HOSPICE)
(609) 781-1535
Entity
Organization
Contact information
Practice address
5838 WEST BRICK RD, STE 101, SOUTH BEND, IN 46628-8420
(574) 208-9270
(855) 618-0518
Mailing address
500 KIRTS BLVD, ATTN: CREDENTIALING DEPARTMENT, TROY, MI 48084-4134
(248) 824-6000
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
11-012733-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201123200A
—
IN
Enumeration date
03/29/2011
Last updated
06/12/2024
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