Organization Active NPI

Heartlite Hospice, Inc.

  • Community Based Hospice Care Agency
  • Scottsboro, AL
National Provider Identifier
1003872649
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
11278 Issued in AL
Legal business name
HEARTLITE HOSPICE, INC.
Practice address
100 West Charlotte Avenue
Scottsboro, AL 35768
Phone
(256) 259-1754
Fax
(256) 259-1790
NPI assigned
Apr 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Curtis A Danekas, CPA
Title
Chief Financial Off
Phone
(630) 942-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 11278 AL Primary

Addresses

Primary practice location

100 West Charlotte Avenue
Scottsboro, AL 35768

Mailing address

800 W. Rossevelt Road
Suite C-206
Glen Ellyn, IL 60137-5851
Phone (630) 942-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

2227 Drake Ave SW
Ste 3
Huntsville, AL 35805
Phone (256) 532-2397

304 S Market St
Ste 200
Scottsboro, AL 35768
Phone (256) 259-1754

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Mar 1, 2016 Change of OwnershipThis provider was the seller Heartlite HospiceCCN 011634, AL, NPI 1831556372

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1003872649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W. ROSSEVELT ROAD",
            "address_2": "SUITE C-206",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375851",
            "telephone_number": "630-942-0100",
            "fax_number": "256-259-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST CHARLOTTE AVENUE",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "35768",
            "telephone_number": "256-259-1754",
            "fax_number": "256-259-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLITE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-22",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "DANEKAS",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFF",
        "authorized_official_telephone_number": "630-942-0100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AL",
            "license": "11278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

Verify at the official NPI Registry.