Organization Active NPI

Hospice Family Care

  • Community Based Hospice Care Agency
  • Huntsville, AL
National Provider Identifier
1023094042
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
11171 Issued in AL
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010-674OtherALBLUE CROSS BLUE SHIELD
PIC1505EMedicaidAL

Medicare participation

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2132300Hospice Family Care10000 Serenity Lane, Huntsville, AL 35803Certificate of waiverJun 14, 2027

National Provider Directory

National Provider Directory

Locations

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

DateEventCounterparty
Aug 1, 2017 Change of OwnershipThis provider was the seller HH Health System - Caring for LifeCCN 011505, AL, NPI 1427571157

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": "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

Verify at the official NPI Registry.