Provider Demographics
NPI:1164262275
Name:DIGNITY & HOPE HOSPICE
Entity type:Organization
Organization Name:DIGNITY & HOPE HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JERILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCULLOUGH-GOODING
Authorized Official - Suffix:
Authorized Official - Credentials:HFA, CDP
Authorized Official - Phone:317-460-4808
Mailing Address - Street 1:802 E 86TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-1806
Mailing Address - Country:US
Mailing Address - Phone:317-460-4808
Mailing Address - Fax:463-248-5379
Practice Address - Street 1:802 E 86TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-1806
Practice Address - Country:US
Practice Address - Phone:317-460-4808
Practice Address - Fax:463-248-5379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based