Organization Active NPI

Homestead Hospice of Cahaba

  • Inpatient Hospice
  • Selma, AL
National Provider Identifier
1366993230
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
License
E2401 Issued in AL
Legal business name
HOMESTEAD HOSPICE OF CAHABA
Practice address
3005 Citizens Parkway
Selma, AL 36701
Phone
(334) 418-0566
Fax
(334) 418-0570
NPI assigned
Oct 17, 2016
Last updated
Nov 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Authorized official

Name
Mahlega Abdsharafat
Title
Ceo
Phone
(404) 456-3531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Hospice 315D00000X E2401 AL Primary

Addresses

Primary practice location

3005 Citizens Parkway
Selma, AL 36701

Mailing address

10888 Crabapple Rd
Roswell, GA 30075
Phone (678) 966-0077

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1366993230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10888 CRABAPPLE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30075",
            "telephone_number": "678-966-0077",
            "fax_number": "678-387-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 CITIZENS PARKWAY",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "36701",
            "telephone_number": "334-418-0566",
            "fax_number": "334-418-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD HOSPICE OF CAHABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "ABDSHARAFAT",
        "authorized_official_first_name": "MAHLEGA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-456-3531"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "AL",
            "license": "E2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.