Organization Active NPI

Abc Hospice, Inc

  • Hospice Registered Nurse
  • Rainsville, AL
National Provider Identifier
1225083660
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice Registered NurseTaxonomy code 163WH1000X
License
11163 Issued in AL
Legal business name
ABC HOSPICE, INC
Practice address
266 Industrial Dr
Suite a
Rainsville, AL 35986-4462
Phone
(256) 638-3491
Fax
(866) 479-2227
NPI assigned
May 24, 2006
Last updated
Mar 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Keith Barron Sanderson
Title
Ceo President
Phone
(256) 638-3491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH1000X 11163 AL Primary

Addresses

Primary practice location

266 Industrial Dr
Suite a
Rainsville, AL 35986-4462

Mailing address

266 Industrial Dr
P O Box 1486
Rainsville, AL 35986-4462
Phone (256) 638-3491

Other identifiers 1

IdentifierTypeStateIssuer
PIC1626EMedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D1031921Abc Hospice266 Industrial Drive Suite B, Rainsville, AL 35986Certificate of waiverOct 12, 2026

National Provider Directory

National Provider Directory

Locations

266 Industrial Dr
#A
Rainsville, AL 35986
Phone (256) 638-3491

266 Industrial Dr
Ste A
Rainsville, AL 35986
Phone (256) 638-3491

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jul 24, 2020 Change of OwnershipThis provider was the seller Hospice of AlabamaCCN 011626, AL, NPI 1356954135

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1225083660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 INDUSTRIAL DR",
            "address_2": "P O BOX 1486",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359864462",
            "telephone_number": "256-638-3491",
            "fax_number": "866-479-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 INDUSTRIAL DR",
            "address_2": "SUITE A",
            "city": "RAINSVILLE",
            "state": "AL",
            "postal_code": "359864462",
            "telephone_number": "256-638-3491",
            "fax_number": "866-479-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "BARRON",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "256-638-3491"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Hospice",
            "state": "AL",
            "license": "11163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PIC1626E",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainsville, AL

Sources for this page

Verify at the official NPI Registry.