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365 HOSPICE, LLC
NPI 1033555776
Hospice Care, Community Based in Carrolltown, PA

Active since May 21, 2013CLIA 39D1070518 · Waiver
115 S MAIN ST, CARROLLTOWN, PA 15722(814) 419-4901(814) 419-4902 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2021, Feb 8, 2016 (2 updates tracked since 2016).

About 365 Hospice, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

365 HOSPICE, LLC (NPI 1033555776), doing business as Horizons Hospice, Llc, is a healthcare organization registered as a hospice care, community based in Carrolltown, Pennsylvania and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through July 1, 2027 and lists Jonathan Rezk, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1033555776
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business Name365 HOSPICE, LLC
Location Address115 S MAIN STCarrolltown, PA 15722-7206
Mailing AddressPo Box 477Carrolltown, PA 15722-0520 · (814) 419-4901 · Fax (814) 419-4902
Phone(814) 419-4901
Fax(814) 419-4902
Organization SubpartNo
Authorized OfficialJonathan RezkVp Finance · (814) 946-5017
Enumeration DateMay 21, 2013
Last NPPES UpdateMay 26, 20212 updates tracked since enumeration
NPPES CertifiedMay 26, 2021
✔ NPI 1033555776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
115 S MAIN ST, Carrolltown, PA 15722
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Other Names 1

Former Legal Business NameHorizons Hospice, Llc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D1070518

365 Hospice, LLC · State College, PA
Active · expires Jul 1, 2027
CLIA Number39D1070518
Laboratory TypeHospice
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorJonathan Rezk
Laboratory Phone(814) 946-5017
Laboratory Location365 Hospice, LLC220 Regent Court Suite 2E, State College, PA 16801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 365 Hospice, LLC's NPI number?

The NPI number for 365 Hospice, LLC is 1033555776. It was assigned to this organization in the NPPES registry on May 21, 2013. The provider was formerly known as Horizons Hospice, LLC.

Where is 365 Hospice, LLC located?

365 Hospice, LLC is located at 115 S Main St, Carrolltown, PA 15722. The listed phone number is (814) 419-4901.

What is 365 Hospice, LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does 365 Hospice, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1070518) is associated with this NPI, valid through July 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 365 Hospice, LLC was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.