NPIMap

Organization Active NPI

Life Care Hospice LLC

  • Community Based Hospice Care Agency
  • Gardendale, AL
National Provider Identifier
1043534274
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
10211 Issued in AL
Legal business name
LIFE CARE HOSPICE LLC
Practice address
934 Grubbs Avenue
Gardendale, AL 35071-3200
Phone
(205) 631-6636
Fax
(205) 631-6607
NPI assigned
Mar 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Authorized official

Name
Ms. Vicki G. Trull
Title
Administrator
Phone
(256) 734-1170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 10211 AL Primary

Addresses

Primary practice location

934 Grubbs Avenue
Gardendale, AL 35071-3200

Mailing address

934 Grubba Avenue
Gardendale, AL 35071-3200
Phone (205) 631-6636

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1043534274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 GRUBBA AVENUE",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350713200",
            "telephone_number": "205-631-6636",
            "fax_number": "205-631-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 GRUBBS AVENUE",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350713200",
            "telephone_number": "205-631-6636",
            "fax_number": "205-631-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "TRULL",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "256-734-1170",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AL",
            "license": "10211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.