NPIMap

Organization Active NPI

Camellia Hospice of South Alabama, LLC

  • Community Based Hospice Care Agency
  • Montgomery, AL
National Provider Identifier
1053856591
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
15477 Issued in AL
Legal business name
CAMELLIA HOSPICE OF SOUTH ALABAMA, LLC
Practice address
4782 Woodmere Blvd Ste C
Montgomery, AL 36106-3065
Phone
(334) 289-1007
NPI assigned
Dec 19, 2016
Organization subpart
Yes
Parent organization
ENHABIT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Lisa M Arbuckle
Title
Director, Licensing & Enrollment
Phone
(214) 239-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 15477 AL Primary

Addresses

Primary practice location

4782 Woodmere Blvd Ste C
Montgomery, AL 36106-3065

Mailing address

6688 N Central Expy Ste 1300
Dallas, TX 75206-3950
Phone (214) 239-6500

Other names 1

  • Enhabit Hospice Prattville Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ENHABIT.HOSPICE.AL.PVH@DIRECT.HCHB.COM Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170316001850 AL Part A Provider - Hospice 9931484805 Practice locations: Dothan, AL; Montgomery, AL

Hospice certification: CCN 011600

Legal name
CAMELLIA HOSPICE OF SOUTH ALABAMA LLC
Doing business as
ENHABIT HOSPICE PRATTVILLE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 22, 2003
Last certification
Apr 1, 2011
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
Sep 30, 2016 in MS
Enrollment address
3379 W Main St
Ste 2
Dothan, AL 36305-1018

Care Compare: Hospice

Medicare Care Compare
Listed as
Enhabit Hospice PrattvilleCCN 011600
Ownership
For-Profit
Certified
Jul 22, 2003
Medicare certification status
ActiveFrom the Provider of Services 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
01D2049074Dba Enhabit Hospice - Prattville4782 Woodmere Boulevard, Suite C, Montgomery, AL 36106Certificate of waiverOct 29, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3379 W Main St
Ste B
Dothan, AL 36305
Phone (334) 671-2290

3379 W Main St
Ste 2
Dothan, AL 36305
Phone (334) 671-2290

3230 Ross Clark Cir
Ste 1
Dothan, AL 36303
Phone (334) 671-2290

4782 Woodmere Blvd
Ste C
Montgomery, AL 36106
Phone (334) 272-3538

1807 Station Dr
Ste B
Prattville, AL 36066

Interoperability endpoints

  • Direct secure messaging: enhabit.hospice.al.pvh@direct.hchb.com

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tanya R Marion Individual Corporate OfficerChief Human Resources Officer Jul 1, 2022
8 Knots Management, LLC Organization, Dallas, TX LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2024 8.81%
Deerfield Management Company LP Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Dec 31, 2022 6.04%
Buddy B Stokes Individual Contracted Managing EmployeeMD; May 1, 2018
Blackrock Inc Organization, New York, NY Corporation, Investment firm 5% Or Greater Indirect Ownership Interest Dec 31, 2022 7.8%
Collin S McQuiddy Individual Corporate OfficerChief Accountin Officer Aug 5, 2024
Barbara a Jacobsmeyer Individual Corporate OfficerPresident & Ceo Jun 21, 2021
Sarah W Braley Individual Corporate OfficerAssistant Secretary Feb 22, 2023
Julie D Jolley Individual Corporate OfficerExecutive Vice President & Autho Jun 4, 2021
Vanguard Group Inc Organization, Malvern, PA Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2022 5.91%
Enhabit Inc Organization, Dallas, TX Corporation, Holding company, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jun 1, 2021 100%
Wells Fargo Bank, N.a. Organization, Charlotte, NC Financial institution 5% Or Greater Security Interest Jun 30, 2022 100%
Advanced Homecare Management LLC Organization, Dallas, TX LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2022 100%
Heather Daugherty Kendrick Individual W-2 Managing EmployeeAdministrator Jan 7, 2022
Dylan C Black Individual Corporate OfficerGeneral Counsel and Secretary Feb 22, 2023
Eh Home Health of the Southeast, LLC Organization, Dallas, TX LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest May 1, 2018 100%
Jeanne L Kalvaitis Individual Corporate OfficerExecutive Vice President of Hospice Jul 1, 2022
Jobie G Williams Individual Corporate OfficerSVP of Strategic Finance & Treasure Feb 22, 2023
Ryan T Solomon Individual Corporate OfficerChief Financial Officer Authoriz Dec 9, 2024
Sean P Richardson Individual Corporate OfficerChief Tax Officer Feb 22, 2023

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 196

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 196

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2017 Change of OwnershipThis provider was the buyer Compassus - DemopolisCCN 011600, AL, NPI 1245208750

Change of ownership 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1053856591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6688 N CENTRAL EXPY STE 1300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752063950",
            "telephone_number": "214-239-6500",
            "fax_number": "214-239-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4782 WOODMERE BLVD STE C",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063065",
            "telephone_number": "334-289-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELLIA HOSPICE OF SOUTH ALABAMA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENHABIT, INC.",
        "enumeration_date": "2016-12-19",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "ARBUCKLE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR, LICENSING & ENROLLMENT",
        "authorized_official_telephone_number": "214-239-6500"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AL",
            "license": "15477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ENHABIT.HOSPICE.AL.PVH@DIRECT.HCHB.COM",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Exchange",
            "address_1": "4782 Woodmere Blvd Ste C",
            "city": "Montgomery",
            "state": "AL",
            "country_code": "US",
            "postal_code": "361063065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Enhabit Hospice Prattville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.