ASERACARE HOSPICE - JACKSON LLC (NPI# 1790115756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790115756 |
| Entity Type | Organization |
| Organization Name | ASERACARE HOSPICE - JACKSON LLC |
| Other Organization Name | PRIME BY ASERACARE |
| Practice Address |
1201 Montlimar Dr Ste 100 Mobile AL 36609-1704 |
| Mailing Address |
3854 American Way Ste A Baton Rouge LA 70816-4897 |
| Practice Telephone | 2513430989 |
| Mailing Telephone | 2252922031 |
| Mailing Fax Number | 2252959678 |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2020-07-06 |
| Authorized Official Name | PAUL KUSSEROW (PRESIDENT) |
| Authorized Official Telephone | 2252922031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207PH0002X |
Emergency Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2081H0002X |
Physical Medicine & Rehabilitation Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Prime by AseraCare | Doing Business As Name - Organization |
| Street Address |
1201 MONTLIMAR DR STE 100 |
| City | MOBILE |
| State | AL |
| Zip Code | 36609-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144224015 | Alacare Home Health Services, Inc | Home Health | 1201 Montlimar Dr, Suite 700, Mobile, AL 36609-1704 | 2005-06-09 |
| 1770944357 | Prime By Aseracare LLC | Emergency Medicine | 1201 Montlimar Dr, Ste 100, Mobile, AL 36609-1704 | 2016-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698309 | Bhg Lxxii, LLC | Clinic/Center | 4373 Dowtowner Loop South, Suite A, Mobile, AL 36609 | 2020-10-26 |
| 1760036008 | Jesse David Schultz | Chiropractor | 3501 Montlimar Plaza Drive, Mobile, AL 36609 | 2019-07-25 |
| 1982267241 | Raqueal L. Williams | Registered Nurse | 406 Larose Dr., Mobile, AL 36609 | 2019-04-22 |
| 1588131924 | Angela Roney | Counselor | 705 Oak Circle Dr. East, Mobile, AL 36609 | 2018-10-24 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1912420126 | Rural Urgent Care LLC | Clinic/Center | 6280 Grelot Road, Mobile, AL 36609 | 2017-07-19 |
| 1598128407 | Trisha Mcmillon | Counselor | 3929 Airport Blvd Ste 1-214, Mobile, AL 36609 | 2016-03-30 |
| 1437523347 | Sonya White D.d.s. PC | Dentist | 6309 Piccadilly Square Dr., Mobile, AL 36609 | 2015-11-17 |
| 1386913374 | Janis Marie Fausser | Pharmacist | 5705 Cottagehill Rd, Mobile, AL 36609 | 2011-12-20 |
| 1245524263 | Emily Chisholm | Physical Therapist | 1515 University Blvd. S., Mobile, AL 36609 | 2011-06-07 |
| Find all providers in zip 36609 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003047002 | Bay Area Palliative Care PC | Family Medicine | 8885 Dawes Lake Rd N, Mobile, AL 36619-4345 | 2009-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776420 | Ivy Creek Palliative Care, LLC | Family Medicine | 525 Hospital Dr Ste B, Wetumpka, AL 36092-1626 | 2020-10-05 |
| 1225457757 | Palliative and Supportive Care Alliance, Inc | Family Medicine | 408 Martling Rd Ste A-105, Albertville, AL 35951-7208 | 2014-04-11 |
| 1235429481 | Michael Garrett Hurst | Family Medicine | Ch19 Ste 219, 1720 2nd Ave So., Birmingham, AL 35294-2041 | 2011-04-08 |
| 1215587837 | Affinity Acquisitions Georgia LLC | Family Medicine | 216 Aquarius Dr Ste 306, Birmingham, AL 35209-5863 | 2019-09-16 |
| 1194108449 | Hs Clinical Services | Family Medicine | 2 Chase Corporate Dr, Suite 300, Hoover, AL 35244-1016 | 2015-07-06 |
| 1851643050 | Symptom Management Specialist, PC | Family Medicine | 29653 Anchor Cross Blvd, Daphne, AL 36526-9594 | 2012-10-11 |
| 1851649321 | Blue Bayou Inc | Family Medicine | 2100 Southbridge Pkwy, Birmingham, AL 35209-1302 | 2012-08-15 |
| 1053588335 | Robert J. Webb, M.d., P.C. | Family Medicine | 727 Cox Creek Pkwy, Florence, AL 35630-1001 | 2008-05-14 |
| 1366565194 | The Bethesda Life Center, Inc. | Family Medicine | 321 19th Street Ensley, Birmingham, AL 35218-1642 | 2007-04-08 |
| 1134175367 | Virginia A Campbell | Family Medicine | 700 19th St S, Birmingham, AL 35233-1927 | 2006-05-26 |
| Find all providers with the same taxonomy | ||||
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| 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.