CAMELLIA HOSPICE OF SOUTH ALABAMA, LLC (NPI# 1053856591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053856591 |
| Entity Type | Organization |
| Organization Name | CAMELLIA HOSPICE OF SOUTH ALABAMA, LLC |
| Other Organization Name | ENCOMPASS HEALTH HOSPICE - PRATTVILLE |
| Practice Address |
1807 Station Dr Ste B Prattville AL 36066 |
| Mailing Address |
6688 N Central Expy Ste 1300 Dallas TX 75206-3950 |
| Practice Telephone | 3342891007 |
| Mailing Telephone | 2142396500 |
| Mailing Fax Number | 2142396581 |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2018-06-11 |
| Authorized Official Name | GEORGE R THOMPSON (VICE PRESIDENT) |
| Authorized Official Telephone | 2142396500 |
| Is Organization Subpart | Y |
| Parent Organization Name | ENCOMPASS HEALTH CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 15477 | AL | Agencies |
| Other Name | Type Code |
|---|---|
| Encompass Health Hospice - Prattville | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Camellia Hospice of South Alabama, LLC | 135 Mayfair Road, Hattiesburg, MS 39402 |
| Street Address |
1807 STATION DR STE B |
| City | PRATTVILLE |
| State | AL |
| Zip Code | 36066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265805550 | Alabama Dental Professionals, PC | Dentist | 2489 Cobbs Ford Road, Prattville, AL 36066 | 2015-11-09 |
| 1407243645 | Drayer Physical Therapy-alabama, LLC | Physical Therapist | 2703 Legends Parkway, Prattville, AL 36066 | 2015-04-24 |
| 1225396203 | Kristin Taylor | Occupational Therapist | 635 Mcqueen Smith Road, Suite D, Prattville, AL 36066 | 2012-04-27 |
| 1164796959 | Glynwood Park Dental Care | Dentist | 1831 Glynwood Drive, Prattville, AL 36066 | 2012-02-27 |
| 1790068757 | Jason Duane Weaver | Physical Therapist | 1824 Glynwood Drive, Prattville, AL 36066 | 2011-09-26 |
| 1982931499 | Health Star Inc | Chiropractor | 2441 Cobbs Ford Road, Prattville, AL 36066 | 2009-11-05 |
| 1023101698 | Drs. Tatum and Walker, L.L.C. | Dentist | 597 South Memorial Drive, Prattville, AL 36066 | 2006-10-02 |
| 1730290693 | Shalini Goswami | Internal Medicine | 1294 E Main St, Prattville, AL 36066 | 2006-08-31 |
| 1407860380 | Robert Allen Avery | Internal Medicine | 645 Mcqueen Smith Rd N Ste 207, Prattville, AL 36066 | 2006-07-28 |
| 1689695488 | John B Malion Sr. | Chiropractor | 166 N Memorial Dr, Prattville, AL 36066 | 2006-07-21 |
| Find all providers in zip 36066 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578506564 | Aseracare Hospice - Demopolis, LLC | Hospice Care, Community Based | 482 Mcqueen Smith Rd S, Prattville, AL 36066-5631 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093340119 | Five Points Healthcare of Alabama, LLC | Hospice Care, Community Based | 100 Concourse Pkwy Ste 320, Hoover, AL 35244-1857 | 2020-03-09 |
| 1235789900 | Affinity Acquisitions Georgia LLC | Hospice Care, Community Based | 135 Gemini Cir Ste 202, Birmingham, AL 35209-5842 | 2019-09-16 |
| 1609337229 | Encompass Health Hospice of Alabama, LLC | Hospice Care, Community Based | 2400 John Hawkins Pkwy Ste 104b, Hoover, AL 35244-3500 | 2019-03-27 |
| 1124596267 | Encompass Health Hospice of Talladega, LLC | Hospice Care, Community Based | 650 Stone Avenue, Talladega, AL 35160-2217 | 2018-11-07 |
| 1801389150 | Healing Hearts II Hhc | Hospice Care, Community Based | 2420 Morgan Rd, Bessemer, AL 35022-5017 | 2018-06-12 |
| 1134663537 | Compassus Op of Alabama LLC | Hospice Care, Community Based | 1400 Urban Center Dr Ste 100, Vestavia, AL 35242 | 2016-12-05 |
| 1104271857 | Prohealth Hospice-gadsden, LLC | Hospice Care, Community Based | 1115b Rainbow Drive, Gadsden, AL 35901 | 2016-05-02 |
| 1831556372 | Lhcg Lxxix, LLC | Hospice Care, Community Based | 111 E Laurel St, Scottsboro, AL 35768-1801 | 2016-01-27 |
| 1205209509 | Comfort Care Coastal Hospice, LLC | Hospice Care, Community Based | 22502 U.S. Highway 98, Fairhope, AL 36532 | 2015-11-09 |
| 1194191155 | Ascera Care | Hospice Care, Community Based | 6633 Red Maple Dr, Mobile, AL 36618-4831 | 2015-08-13 |
| Find all providers with the same taxonomy | ||||
| City | PRATTVILLE |
| Zip Code | 36066 |
Please comment or provide details below to improve the information on CAMELLIA HOSPICE OF SOUTH ALABAMA, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.