Hospice of Montgomery Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

11724 Issued in AL

Legal business name

HOSPICE OF MONTGOMERY INC

Practice address

1111 Holloway Park
Montgomery, AL 36117-1902

Phone

(334) 279-6677

Fax

(334) 277-2223

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jenille V Ball, RN

Title

Executive Director

Phone

(334) 279-6677

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144273160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 HOLLOWAY PARK",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361171902",
            "telephone_number": "334-279-6677",
            "fax_number": "334-277-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HOLLOWAY PARK",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361171902",
            "telephone_number": "334-279-6677",
            "fax_number": "334-277-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF MONTGOMERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "JENILLE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "334-279-6677",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AL",
            "license": "11724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "010371",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PIC1523E",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elsie J Hornsby-Canady, LPN
• Usama Hosain, MD
• Holli Hosford, PMHNP-BC
• Douglas Mark Hoskins, PA
• Hospice Advantage, LLC.
• Hospiscript Services LLC
• Shobha Mahesh Hosur, DMD
• Hour Glass Optical
• Hour Glass Optical Lab. Inc.
• House of Serinity

• Community Based Hospice Care Agency in Montgomery, AL
• Providers in Montgomery, 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 Aug 22, 2020; 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.