HOMESTEAD HOSPICE OF SOUTHERN ALABAMA, LLC


Address: 104 Carmellia Ave, Suite A, Greenville, AL 36037
Phone: 3343712450

HOMESTEAD HOSPICE OF SOUTHERN ALABAMA, LLC (NPI# 1235530338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235530338
Entity Type Organization
Organization Name HOMESTEAD HOSPICE OF SOUTHERN ALABAMA, LLC
Practice Address 104 Carmellia Ave, Suite A
Greenville
AL 36037
Mailing Address 10888 Crabapple Road
Roswell
GA 30075
Practice Telephone 3343712450
Practice Fax Number 3343712455
Mailing Telephone 6789660077
Mailing Fax Number 7704413086
Enumeration Date 2014-09-08
Last Update Date 2018-08-16
Authorized Official Name MAHLEGA ABDSHAARAFAT (CEO)
Authorized Official Telephone 6789660077
Is Organization Subpart Y
Parent Organization Name CREATIVE HOSPICE CARE, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based E1803 AL Agencies

Office Location

Street Address 104 CARMELLIA AVE, SUITE A
City GREENVILLE
State AL
Zip Code 36037

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1184742512 James Robert Powell Counselor 185 Industrial Parkway, Greenville, AL 36037 2007-03-26
1679649172 Brenda Burke Bowen Physical Therapist 801 Wood Valley Rd, Greenville, AL 36037 2006-11-27
1194812032 William Hamilton Jr. Dentist 106 Cedar St., Greenville, AL 36037 2006-10-10
1578671459 Marvin Mccoy Hewlett Jr. Dentist 402 E Commerce Street, Greenville, AL 36037 2006-08-29
1194258319 Kristen Beverly Nurse Practitioner 300 N College St, Greenville, AL 36037 2017-04-05
1427400035 Richard Giovane Family Medicine 300 N College St, Greenville, AL 36037 2016-07-07
1881036473 Kristopher Nathan Adams Nurse Practitioner 300 N College St, Greenville, AL 36037 2013-07-23
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

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1245702935 True Hearts and Hands Hospice, LLC Hospice Care, Community Based 2608 Eastland Ave Ste 104, Greenville, TX 75402-8920 2018-12-19
1659618387 Lhcg Xli, LLC Hospice Care, Community Based 5 Century Dr Ste 210, Greenville, SC 29607-1572 2013-01-15
1356695712 Homestead Hospice of Greenville, LLC Hospice Care, Community Based 109 Lauren Road, Bldg 1a, Greenville, SC 29607 2012-11-06
1376863209 North Haven Hospice & Palliative Care, LLC Hospice Care, Community Based 1696 South Colrado Street, Suite 4, Greenville, MS 38701-7216 2010-06-02
1184946378 Genesis Hospice Care, LLC Hospice Care, Community Based 1696 S Colorado St, Greenville, MS 38703-7216 2010-02-16
1316119217 Warren-washington-issaquena-sharkey Community Action Agency Hospice Care, Community Based 1544 Old Leland Rd, Greenville, MS 38701-2656 2008-03-31
1467635706 Caris Healthcare LLC Hospice Care, Community Based 111 Smith Hines Rd Ste D, Greenville, SC 29607-5745 2007-12-10
1629289673 Hospice Solution Inc Hospice Care, Community Based 1427 S Main Street, Suite 145, Greenville, MS 38701-7000 2007-05-24
1861516270 Healthkeeperz, Inc. Hospice Care, Community Based 503 Bowman Gray Drive, Suite C, Greenville, NC 28374 2007-03-19
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City GREENVILLE
Zip Code 36037

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Dataset Information

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.

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