Active NPI
Hospice Family Care
- Community Based Hospice Care Agency
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 11171
- Legal business name
- HOSPICE FAMILY CARE
- Practice address
- 10000 Serenity Lane SE
Huntsville, AL 35803 - Phone
- (256) 650-1212
- Fax
- (256) 880-2929
- NPI assigned
- Dec 21, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kristina Johnson
- Title
- Executive Director
- Phone
- (256) 650-1212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 11171 | AL | Primary |
Addresses
Primary practice location
10000 Serenity Lane SE
Huntsville, AL 35803
Mailing address
3304 Westmill Dr SW
Huntsville, AL 35805-6132
Phone (256) 650-1212
Other practice location 1
3304 Westmill Dr SW
Huntsville, AL 35805-6132
Phone (256) 650-1212
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010-674 | Other | AL | BLUE CROSS BLUE SHIELD |
| PIC1505E | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2132300 | Hospice Family Care | Certificate of waiver | Jun 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
10000 Serenity Ln SE
Huntsville, AL 35803
Phone (256) 650-1212
2225 Drake Ave SW
Ste 8
Huntsville, AL 35805
Phone (256) 650-1212
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Aug 1, 2017 | Change of Ownership | HH Health System - Caring for Life |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba The Health Care Authority of the City of Huntsville
- Community Based Hospice Care Agency
- Huntsville, AL
- NPI 1427571157
Sold to, 2017-08-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1023094042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3304 WESTMILL DR SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358056132",
"telephone_number": "256-650-1212",
"fax_number": "256-880-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 SERENITY LANE SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "35803",
"telephone_number": "256-650-1212",
"fax_number": "256-880-2929"
}
],
"practiceLocations": [
{
"address_1": "3304 Westmill Dr SW",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "AL",
"postal_code": "358056132",
"country_code": "US",
"telephone_number": "256-650-1212",
"fax_number": "256-880-2929",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HOSPICE FAMILY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-21",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "KRISTINA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "256-650-1212",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "AL",
"license": "11171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "010-674",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PIC1505E",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.