HC Healthcare, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HC HEALTHCARE, LLC

Practice address

1370 S Highway 21 Byp
Suite B
Monroeville, AL 36460-1924

Phone

(251) 575-7772

Fax

(251) 575-7773

NPI assigned

Sep 17, 2007

Organization subpart

No

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

Authorized official

Name

Kayanne Mynsberge, RN

Title

Coo

Phone

(989) 891-2210

Specialties & licenses 1

Addresses

Other names 1

• HC Healthcare, Inc Former legal business name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

All disclosed owners & managing parties 29

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

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1235325929",
    "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": "989-891-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 S HIGHWAY 21 BYP",
            "address_2": "SUITE B",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364601924",
            "telephone_number": "251-575-7772",
            "fax_number": "251-575-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HC HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "MYNSBERGE",
        "authorized_official_first_name": "KAYANNE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "989-891-2210",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HC Healthcare, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Nickie Monique Hudson, MS,COUNSELOR,CAMS-II

• All providers in Monroeville, AL
• Community Based Hospice Care Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.