Active NPI
Hospice Advantage, LLC.
- Community Based Hospice Care Agency
- Columbia, MO
National Provider Identifier
1144526641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 203-HO
- Legal business name
- HOSPICE ADVANTAGE, LLC.
- Practice address
- 2620 Forum Blvd
Suite E
Columbia, MO 65203-5454 - Phone
- (573) 442-9104
- Fax
- (573) 442-9124
- NPI assigned
- Jan 31, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaye Mynsberge
- Title
- Coo
- Phone
- (989) 891-2210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 203-HO | MO | Primary |
Addresses
Primary practice location
2620 Forum Blvd
Suite E
Columbia, MO 65203-5454
Mailing address
401 Center Ave
Bay City, MI 48708-5939
Phone (989) 891-2206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144526641 | Medicaid | MO |
Other names 1
- Hospice Advantage, Inc.
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Auburn, AL
- NPI 1093238248
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404259200000",
"number": "1144526641",
"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": "2620 FORUM BLVD",
"address_2": "SUITE E",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652035454",
"telephone_number": "573-442-9104",
"fax_number": "573-442-9124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE ADVANTAGE, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-31",
"last_updated": "2014-07-02",
"status": "A",
"authorized_official_last_name": "MYNSBERGE",
"authorized_official_first_name": "KAYE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "989-891-2210"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "MO",
"license": "203-HO",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144526641",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hospice Advantage, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.