Active NPI
Abc Hospice, Inc
- Hospice Registered Nurse
- Rainsville, AL
National Provider Identifier
1225083660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice Registered Nurse
- License
- 11163
- 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, 2010
- 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
- Keith Barron Sanderson
- Title
- Ceo President
- Phone
- (256) 638-3491
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice Registered Nurse | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PIC1626E | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D1031921 | Abc Hospice | Certificate of waiver | Oct 12, 2026 |
National Provider Directory
National Provider DirectoryLocations
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
| Date | Event | Counterparty |
|---|---|---|
| Jul 24, 2020 | Change of Ownership | Hospice of Alabama |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Hospice of Alabama
- Community Based Hospice Care Agency
- Rainsville, AL
- NPI 1356954135
Sold to, 2020-07-24
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.