Volunteer Hospice Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

00000615 Issued in TN

Legal business name

VOLUNTEER HOSPICE INC.

Practice address

713 Highway 99
Waynesboro, TN 38485-3009

Phone

(256) 764-6633

Fax

(256) 764-7873

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Charles A Eddins

Title

Owner

Phone

(256) 764-6633

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093766693. Details of each certification follow.

• CCN 441589 Hospice · Active · Details

Hospice certification: CCN 441589

Legal name

VOLUNTEER HOSPICE INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 22, 2004

Last certification

May 8, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 8, 2004 in TN

Enrollment address

211 A Dexter L. Woods Memorial Blvd
Waynesboro, TN 38485-3009

Listed as

Volunteer HospiceCCN 441589 · All quality measures

Ownership

For-Profit

Certified

Nov 22, 2004

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

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

Owners & managing parties with NPI records 1

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

• Michael Lewis Smith, MD

  • General Practice Physician
  • Savannah, TN
  • NPI 1518984194

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Norman Lin McNulty, M.D.

  • Neurology Physician
  • Lawrenceburg, TN
  • NPI 1013195452

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1093766693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1332",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356311332",
            "telephone_number": "256-764-6633",
            "fax_number": "256-764-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 HIGHWAY 99",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384853009",
            "telephone_number": "256-764-6633",
            "fax_number": "256-764-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEER HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "EDDINS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-764-6633"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TN",
            "license": "00000615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Lynn Thompson
• Ramil Torres
• Total Therapy Center, LLC
• Harish Veeramachaneni, MD
• Voices of Savannah TN
• Bruce Walker
• Thomas Danville Wallace, CPHT
• Rachel Walton
• Wayne Care Nursing Home
• Wayne County Assisted Living Facility

• Community Based Hospice Care Agency in Waynesboro, TN
• Providers in Waynesboro, TN by specialty
• Community Based Hospice Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.

Verify at the official NPI Registry.