Homestead Hospice of Southern Alabama, LLC
Organization Active NPI Community Based Hospice Care Agency · Greenville, AL
NPI 1235530338 · NPPES record last updated Aug 16, 2018
Key facts
- NPI
- 1235530338
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- E1803 (AL)
- Legal business name
- HOMESTEAD HOSPICE OF SOUTHERN ALABAMA, LLC
- Practice address
- 104 Carmellia Ave, Suite a
Greenville, AL 36037 - Phone
- (334) 371-2450
- Fax
- (334) 371-2455
- NPI assigned
- Sep 8, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- CREATIVE HOSPICE CARE, INC
Authorized official
- Name
- Mahlega Abdshaarafat
- Title
- Ceo
- Phone
- (678) 966-0077
Member of 1
Practitioners 1
-
Brittany Hendrix, CRNP
National Provider Directory
- Part of
- Creative Hospice Care Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | E1803 | AL | Yes |
Addresses
Primary practice location
104 Carmellia Ave, Suite a
Greenville, AL 36037
Mailing address
10888 Crabapple Road
Roswell, GA 30075
Phone (678) 966-0077
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All providers in Greenville, AL · Community Based Hospice Care Agency in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.