NPIMap

Organization Active NPI

Aseracare Hospice - Jackson, LLC

Doing business as AseraCare Hospice

  • Community Based Hospice Care Agency
  • Jackson, AL
National Provider Identifier
1285671792
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ASERACARE HOSPICE - JACKSON, LLC
Doing business as
AseraCare Hospice
Practice address
4115 N College Ave
Jackson, AL 36545-2022
Phone
(251) 246-4113
NPI assigned
Jun 1, 2006
Last updated
Jul 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Authorized official

Name
Paul Kusserow
Title
President
Phone
(225) 292-2031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

4115 N College Ave
Jackson, AL 36545-2022

Mailing address

3854 American Way Ste a
Baton Rouge, LA 70816-4897
Phone (225) 292-2031

Other identifiers 2

IdentifierTypeStateIssuer
012-484OtherBCBS
PIC-1562EMedicaidAL

Other names 1

  • AseraCare Hospice Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4115 N College Ave
Jackson, AL 36545
Phone (205) 652-6167

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1285671792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 AMERICAN WAY STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164897",
            "telephone_number": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 N COLLEGE AVE",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365452022",
            "telephone_number": "251-246-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASERACARE HOSPICE - JACKSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "KUSSEROW",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-292-2031"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "012-484",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PIC-1562E",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AseraCare Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AseraCare Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.