Hospice of Marshall County, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

10248 Issued in AL

Legal business name

HOSPICE OF MARSHALL COUNTY, INC.

Practice address

408 Martling Road
Albertville, AL 35951-0000

Phone

(256) 891-7724

Fax

(256) 891-7754

NPI assigned

Jun 1, 2005

Last updated

Aug 22, 2020By 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

Mrs. Rhonda Slaton Osborne, RN

Title

Ceo

Phone

(256) 891-7724

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Shepherd's Cove Other name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194727362. Details of each certification follow.

• CCN 011513 Hospice · Active · Details

Hospice certification: CCN 011513

Legal name

HOSPICE OF MARSHALL COUNTY, INC.

Doing business as

SHEPHERD'S COVE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 14, 1988

Last certification

Dec 13, 2021

Ownership / control type

Other

Organization structure

CorporationNon-profit

Incorporated

Dec 22, 1982 in AL

Enrollment address

408 Martling Rd
Albertville, AL 35951-7208

Listed as

Shepherd's Cove HospiceCCN 011513 · All quality measures

Ownership

Other

Certified

Apr 14, 1988

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 12

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.

• Stormy Denise Dismuke, RN, BSN, MSN, NP-C

  • Family Nurse Practitioner
  • Albertville, AL
  • NPI 1619293370

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stormy Denise Dismuke, RN, BSN, MSN, NP-C

  • Family Nurse Practitioner
  • Albertville, AL
  • NPI 1619293370
  NPD
• Allison Shea Wright Glassco, FNP-C

  • Family Nurse Practitioner
  • Albertville, AL
  • NPI 1447701560
  NPD (past)
• Lindsey Nicole Graham, LMSW

  • Clinical Social Worker
  • Albertville, AL
  • NPI 1689486938
  NPD (past)
• Sarah Catherine Halligan, LICSW

  • Clinical Social Worker
  • Albertville, AL
  • NPI 1407648090
  NPD (past)
• Stacey Leann Johnson

  • Social Worker
  • Guntersville, AL
  • NPI 1689432569
  NPD (past)
• Messalina Charisse Jordan, D.O.

  • Family Medicine Physician
  • Albertville, AL
  • NPI 1114218039
  NPD (past)
• Jenny Knight, LBSW

  • Mental Health Counselor
  • Albertville, AL
  • NPI 1164857967
  NPD (past)
• Ryan W. Smothers, LICSW

  • Clinical Social Worker
  • Albertville, AL
  • NPI 1487477584
  NPD (past)

Affiliated clinicians 5

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

• Gary Alan Calhoun, MD

  • Family Medicine Physician
  • Albertville, AL
  • NPI 1083687990

  Hospice

  Care Compare affiliation
• Robert W Hargraves, MD

  • Family Medicine Physician
  • Guntersville, AL
  • NPI 1821048794

  Hospice

  Care Compare affiliation
• Messalina Charisse Jordan, D.O.

  • Family Medicine Physician
  • Albertville, AL
  • NPI 1114218039

  Hospice

  Care Compare affiliation
• Jeffrey M Saylor, MD

  • Family Medicine Physician
  • Guntersville, AL
  • NPI 1174589410

  Hospice

  Care Compare affiliation
• Raymond C Ufford, M.D.

  • Family Medicine Physician
  • Albertville, AL
  • NPI 1679568752

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194727362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 MARTLING RD",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359510000",
            "telephone_number": "256-891-7724",
            "fax_number": "256-891-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 MARTLING ROAD",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359510000",
            "telephone_number": "256-891-7724",
            "fax_number": "256-891-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF MARSHALL COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "SLATON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-891-7724",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AL",
            "license": "10248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD OF AL",
            "identifier": "010353",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PIC1513E",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shepherd's Cove",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alex Christopher Honea
• Amelia A Honea, RPH.
• Christopher Wayne Honea, R.N., C.O.H.N.-S.
• Kacey Hood, SLP
• Hope Stone Counseling, LLC
• Lauren Howe
• Suzanne Howell, CRNP
• Shonnie L Hubbard, CRNP
• Anna Huff
• Katie R Huie, RBT

• Community Based Hospice Care Agency in Albertville, AL
• Providers in Albertville, 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.
• 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.