Crater Community Hospice Inc
NPI 1962407700ActiveOrganization· Hospice Care, Community Based· Petersburg, VA
Hospice Care, Community Based in Petersburg, Virginia, registered in NPPES in June 2005. The authorized official on file is Brenda D. Mitchell, RN, MSN, CS, CHPN, Ceo. Enrolled in Medicare as part a provider - hospice and part b supplier - clinic/group practice.
Overview
| NPI | 1962407700 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 17, 2005 |
| Last updated in NPPES | Jun 9, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospice Care, Community Based Primary | 251G00000X | 0515-15 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Hospice (VA); Part B Supplier - Clinic/Group Practice (VA) |
|---|
Other hospice agencies in Petersburg
- 1003936220
- 1508804279