Organization Active NPI

American Hospice -- Fort Payne

Doing business as american hospice

  • Community Based Hospice Care Agency
  • Fort Payne, AL
National Provider Identifier
1376612648
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AMERICAN HOSPICE -- FORT PAYNE
Doing business as
american hospice
Practice address
103 3Rd Street North West
Suite 202
Fort Payne, AL 35968
Phone
(256) 245-9212
NPI assigned
Nov 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Judy M Bearden, RN
Title
President
Phone
(256) 245-9212

Specialties & licenses 1

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

Addresses

Primary practice location

103 3Rd Street North West
Suite 202
Fort Payne, AL 35968

Mailing address

103 3Rd Street North West
Suite 202
Fort Payne, AL 35968
Phone (256) 245-9212

Other names 1

  • american hospice Doing business as

National Provider Directory

National Provider Directory

Locations

103 3rd St NW
#202
Fort Payne, AL 35967
Phone (256) 245-9212

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376612648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 3RD STREET NORTH WEST",
            "address_2": "SUITE 202",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "35968",
            "telephone_number": "256-245-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 3RD STREET NORTH WEST",
            "address_2": "SUITE 202",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "35968",
            "telephone_number": "256-245-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HOSPICE -- FORT PAYNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEARDEN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-245-9212",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "american hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Payne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.