Peds@Home

You can help hospice and home health providers start pediatric programs or enhance existing ones by becoming a Peds@Home Spotlight. If you have an e-mail address and/or a Webpage, HAA/NAHC will provide a hyperlink to your site for the time your program is in the Peds@Home Spotlight. To apply simply complete the information in both sections of the Spotlight questionnaire and follow the instructions to e-mail it (and fax, if appropriate) to HAA/NAHC.

Program Name:
Parent Organization:
Address:
City, State ZIP:
Phone:
Fax:
E-mail:
Web Address:
Director:
Pediatric Hospice Coordinator:
Pediatric Homecare Coordinator:

Certifications/Licensure/Accreditations

Medicare:
Home Health , Hospice

Medicaid:
Home Health , Hospice

JACHO Accreditition:
Home Health , Hospice

1997 Data

Patients Served:

Average Daily Census:

Services Offered

Core Hospice Services:

Home Health Services (list):

Additional Professional staff and resources (list):

Percentage of Revenue/Funding Sources

Medicare: , Medicaid: , Private Insurance: , Grants: , Fundraising:

Peds@Home index

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