Organization · Type 2 NPI

Charles Ford Memorial Home Inc

Community Based Hospice Care Agency · Carmi, IL

NPI number 1649007543 Active

Practice location

105 Commerce St
Carmi, IL 62821-2223

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	None listed

Community Based Hospice Care Agency: Definition to come...

NPI record

NPI: 1649007543
Entity type: Organization (Type 2)
Issued: Sep 16, 2024
Last updated: Sep 16, 2024
Status: Active
Subpart: Yes of Charles Ford Memorial Home Inc

Other names

Charles Ford Hospice In Harmony · doing business as

Authorized official

Amy Koch, HFA
Executive Director
(812) 682-4675

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1649007543

Charles Ford Memorial Home Inc's National Provider Identifier is 1649007543, issued on Sep 16, 2024. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Carmi, IL. The record was last updated on Sep 16, 2024.