Hospice Advantage, LLC.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

E3722 Issued in AL

Legal business name

HOSPICE ADVANTAGE, LLC.

Practice address

2435 1St Avenue South
Irondale, AL 35210

Phone

(205) 970-3888

Fax

(205) 970-6677

NPI assigned

Dec 28, 2009

Last updated

Jan 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kayanne Mynsberge

Title

Coo

Phone

(989) 891-2212

Specialties & licenses 1

Addresses

Other names 1

• Hospice Advantage, Inc. Former legal business name

Member of 1

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

• Hospice Advantage Midco, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Auburn, AL
  • NPI 1093238248

  Member Of

  NPD member

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1134459084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CENTER AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085939",
            "telephone_number": "989-891-2206",
            "fax_number": "989-893-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 1ST AVENUE SOUTH",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "35210",
            "telephone_number": "205-970-3888",
            "fax_number": "205-970-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE ADVANTAGE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "MYNSBERGE",
        "authorized_official_first_name": "KAYANNE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "989-891-2212"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AL",
            "license": "E3722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice Advantage, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Community Based Hospice Care Agency in Irondale, AL
• Providers in Irondale, AL by specialty
• Community Based Hospice Care Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.