Organization Active NPI

Hometown Hospice Inc

  • Community Based Hospice Care Agency
  • Saraland, AL
National Provider Identifier
1427126374
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
11628 Issued in AL
Legal business name
HOMETOWN HOSPICE INC
Practice address
23 Shell Rd
Saraland, AL 36571-2202
Phone
(251) 246-2727
Fax
(251) 408-9153
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Authorized official

Name
Mrs. Angie Thornton
Title
Owner
Phone
(251) 246-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 11628 AL Primary

Addresses

Primary practice location

23 Shell Rd
Saraland, AL 36571-2202

Mailing address

PO Box 403
Jackson, AL 36545-0403
Phone (251) 246-2727

Other identifiers 1

IdentifierTypeStateIssuer
PIC1598EMedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

1447 College Ave
Jackson, AL 36545
Phone (251) 246-2727

23 Shell St
Saraland, AL 36571
Phone (251) 246-2727

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Feb 1, 2021 Change of OwnershipThis provider was the seller Vitalcaring GroupCCN 011598, AL, NPI 1568054500

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1427126374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365450403",
            "telephone_number": "251-246-2727",
            "fax_number": "251-246-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SHELL RD",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365712202",
            "telephone_number": "251-246-2727",
            "fax_number": "251-408-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-246-2727",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AL",
            "license": "11628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PIC1598E",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saraland, AL

Sources for this page

Verify at the official NPI Registry.