Active NPI
Homestead Hospice of Southern Alabama, LLC
- Community Based Hospice Care Agency
- Greenville, AL
National Provider Identifier
1235530338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- E1803
- 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
- Last updated
- Aug 16, 2018
- Organization subpart
- Yes
- Parent organization
- CREATIVE HOSPICE CARE, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mahlega Abdshaarafat
- Title
- Ceo
- Phone
- (678) 966-0077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | E1803 | AL | Primary |
Addresses
Primary practice location
104 Carmellia Ave, Suite a
Greenville, AL 36037
Mailing address
10888 Crabapple Road
Roswell, GA 30075
Phone (678) 966-0077
National Provider Directory
National Provider Directory- Part of
- Traditions Health
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Eternal Faith Hospice and Palliative Care
- Community Based Hospice Care Agency
- Bogart, GA
- NPI 1326330010
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Birmingham, AL
- NPI 1871057257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534377600000",
"number": "1235530338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10888 CRABAPPLE ROAD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "30075",
"telephone_number": "678-966-0077",
"fax_number": "770-441-3086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 CARMELLIA AVE, SUITE A",
"city": "GREENVILLE",
"state": "AL",
"postal_code": "36037",
"telephone_number": "334-371-2450",
"fax_number": "334-371-2455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMESTEAD HOSPICE OF SOUTHERN ALABAMA, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CREATIVE HOSPICE CARE, INC",
"enumeration_date": "2014-09-08",
"last_updated": "2018-08-16",
"status": "A",
"authorized_official_last_name": "ABDSHAARAFAT",
"authorized_official_first_name": "MAHLEGA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-966-0077"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "AL",
"license": "E1803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, AL
- Cecelia Camblin Hermann, M.D.
- Jaden Timothy Alexander Hester
- Marvin McCoy Hewlett Jr., DDS
- Audrey Maria Hodge, MD
- Holman Optometrics LLC
- Hometown Medical Equipment Inc
- Danny Trammel Hood, MD
- Pamela Ingram, FNP-C
- Jackson Hospital and Clinic Inc (Jackson Vascular Surgery Greenville)
- Jackson Hospital and Clinic, Inc (Jackson Clinic Multispecialty Greenville)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.