ASERACARE HOSPICE - MONROEVILLE, LLC (NPI# 1992742431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992742431 |
| Entity Type | Organization |
| Organization Name | ASERACARE HOSPICE - MONROEVILLE, LLC |
| Other Organization Name | ASERACARE HOSPICE |
| Practice Address |
1201 Montlimar Dr Ste 100 Mobile AL 36609-1718 |
| Mailing Address |
3854 American Way Ste A Baton Rouge LA 70816-4897 |
| Practice Telephone | 2513038574 |
| Practice Fax Number | 2513038574 |
| Mailing Telephone | 2252922031 |
| Mailing Fax Number | 2252959678 |
| Enumeration Date | 2006-06-01 |
| 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 |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 200812171016 | AL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | PIC-1567E | 05 | |
| BCBS | 012-473 | 01 |
| Other Name | Type Code |
|---|---|
| AseraCare Hospice | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1320 S Highway 21 Byp, Monroeville, AL 364601924 | 2515753409 | 2515752023 |
| 1320 S Highway 21 Byp, Monroeville, AL 364601924 | 2518007473 | 2512164328 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ASERACARE HOSPICE - MONROEVILLE, LLC | 1320 S Highway 21 Byp, Monroeville, AL 36460-1924 |
| Street Address |
1201 MONTLIMAR DR STE 100 |
| City | MOBILE |
| State | AL |
| Zip Code | 36609-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962881557 | Nakita Milhouse-cook | Nurse Practitioner | 1201 Montlimar Dr Ste 100, Mobile, AL 36609-1718 | 2015-05-28 |
| 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 | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194191155 | Ascera Care | Hospice Care, Community Based | 6633 Red Maple Dr, Mobile, AL 36618-4831 | 2015-08-13 |
| 1194164491 | Smith Healthcare Service LLC | Hospice Care, Community Based | 442 Cottage Hill Rd, Apt A101, Mobile, AL 36606-4726 | 2013-06-19 |
| 1720335680 | Lhcg Xxxiv, LLC | Hospice Care, Community Based | 6001 Airport Blvd Ste A, Mobile, AL 36608-3142 | 2012-08-10 |
| 1598948952 | The Harbor Community Hospice LLC | Hospice Care, Community Based | 1058 Persimmon St, Mobile, AL 36603-5732 | 2007-12-07 |
| 1265628887 | Hospice Complete, Inc | Hospice Care, Community Based | 826 Lakeside Drive, Mobile, AL 36693 | 2007-09-18 |
| 1841354974 | Covenant Hospice Inc | Hospice Care, Community Based | 3201 Dauphin St, Suite D, Mobile, AL 36606-4057 | 2006-12-21 |
| 1023184843 | Destiny Hospice Palliative Care, Specialty Services, Inc. | Hospice Care, Community Based | 3759 Government Blvd, Mobile, AL 36693-4307 | 2006-11-24 |
| 1134139868 | Saad Hospice Services, Inc. | Hospice Care, Community Based | 1515 University Blvd S, Mobile, AL 36609-2958 | 2006-08-08 |
| 1558309930 | Southerncare Inc | Hospice Care, Community Based | 3100 Cottage Hill Rd, Ste 112 & 117, Mobile, AL 36606-2913 | 2006-06-04 |
| 1114971967 | Homechoice of Alabama, LLC | Hospice Care, Community Based | 22 Mobile St, Mobile, AL 36607-3121 | 2006-05-19 |
| Find all providers in MOBILE | ||||
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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.