NPIMap

Organization Active NPI

Alive Hospice at St. Thomas Hospital

  • Community Based Hospice Care Agency
  • Nashville, TN
National Provider Identifier
1205022480
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0000000324 Issued in TN
Legal business name
ALIVE HOSPICE AT ST. THOMAS HOSPITAL
Practice address
1718 Patterson St
Nashville, TN 37203-2926
Phone
(615) 327-1085
NPI assigned
Sep 20, 2007
Last updated
Sep 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Mrs. Jan Jones
Title
Ceo
Phone
(615) 327-1085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 0000000324 TN Primary

Addresses

Primary practice location

1718 Patterson St
Nashville, TN 37203-2926

Mailing address

1718 Patterson St
Nashville, TN 37203-2926
Phone (615) 327-1085

Other identifiers 1

IdentifierTypeStateIssuer
3730393MedicaidTN

Other names 1

  • Alive Hospice, Inc Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050928001245 TN Part A Provider - Hospice 0244276608 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hendersonville, TN; Nashville, TN; Murfreesboro, TN; Franklin, TN; Lebanon, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205022480. Details of each certification follow.

Hospice certification: CCN 441501

Legal name
ALIVE HOSPICE, INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 10, 1984
Last certification
Apr 18, 2008
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Nov 14, 1975 in TN
Enrollment address
1718 Patterson St
Nashville, TN 37203-2926

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Alive Hospice IncCCN 441501 · All quality measures
Ownership
Non-Profit
Certified
Apr 10, 1984
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Susan Simons Individual Corporate DirectorBoard Member Sep 22, 2023
Maggie McGraw Individual Corporate DirectorBoard Member Apr 1, 2024
Martha Presley Tran Individual Corporate OfficerChief Medical Officer Apr 1, 2025
Lisa McMurtry Individual W-2 Managing EmployeeAdministrator May 5, 2020
Claire Haltom Individual Corporate DirectorBoard Member Jan 1, 2023
Baxter Lee Individual OtherBoard Member Jan 1, 2025
Jordan Kendig Individual Corporate DirectorBoard Member Jan 1, 2021
Denise Alper Individual Corporate DirectorBoard Member Sep 22, 2023
Kerri McInnis Individual Corporate DirectorBoard Member Jan 1, 2021
C T Stevens Individual Corporate DirectorBoard Member Jan 1, 2022
Virginia Lodge Individual Corporate DirectorBoard Member Jan 1, 2026
Nick Birren Individual Corporate DirectorBoard Member Jan 1, 2022
Lindsey Renee Buzzard Individual Corporate OfficerChief Operating Officer/Admin Home Nov 10, 2025
Marilyn Dubree Individual Corporate DirectorBoard Member Feb 1, 2024
Pam Kellar Individual Corporate DirectorBoard Member Feb 1, 2024
James a Nunnery Individual Corporate DirectorBoard Member Feb 1, 2024
Edward Jackson Individual Corporate DirectorBoard Member Jan 1, 2022
Jennifer Levi Individual W-2 Managing EmployeeAdministrator May 7, 2021
Osei Mves Individual Corporate DirectorBoard Member Feb 1, 2024
Tina Patel Individual Corporate DirectorBoard Member Jan 1, 2025
Molly Sudderth Individual Corporate DirectorBoard Member Feb 1, 2024
Amir Hamad Individual Corporate OfficerPresident & Ceo Jun 29, 2025

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1205022480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 PATTERSON ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032926",
            "telephone_number": "615-327-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 PATTERSON ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032926",
            "telephone_number": "615-327-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIVE HOSPICE AT ST. THOMAS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-327-1085",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TN",
            "license": "0000000324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3730393",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alive Hospice, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.