Alternative Hospice LLC
Organization Active NPI Hospice and Palliative Medicine (Psychiatry & Neurology) Physician · Fenton, MO
NPI 1477977700 · NPPES record last updated Feb 6, 2014
Key facts
- NPI
- 1477977700
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospice and Palliative Medicine (Psychiatry & Neurology) Physician 2084H0002X
- License
- MO2001016352 (MO)
- Legal business name
- ALTERNATIVE HOSPICE LLC
- Practice address
- 1749 Gilsinn LN
Fenton, MO 63026-2008 - Phone
- (636) 343-3839
- Fax
- (636) 343-6367
- NPI assigned
- Feb 6, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- ALTERNATIVE HOSPICE LLC
Authorized official
- Name
- Greg Spence
- Title
- Owner
- Phone
- (636) 349-2311
Parent organization (reported in NPPES) 1
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Practitioners 1
-
Dale J Brewer, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Alternative Hospice LLC |
Hospice | Operational/Managerial Control (50%) | Jan 1, 2007 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140520000100 | MO | Part B Supplier - Clinic/Group Practice | 1759382864 |
Receives reassigned benefits from 1 practitioner Practice locations: Fenton, MO |
National Provider Directory
- Tax ID family
- Alternative Hospice LLC
- Part of
- Alternative Hospice LLC
Locations
7009 Old Highway 66
Cuba, MO 65453
Phone (573) 885-7816
1136 N Desloge Dr
Ste D
Desloge, MO 63601
Phone (573) 358-9234
901 W 14th St
Ste 220
Washington, MO 63090
Phone (636) 390-3272
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Psychiatry & Neurology) Physician |
2084H0002X | MO2001016352 | MO | Yes |
| Nurse Practitioner |
363L00000X | 142859 | MO |
Addresses
Primary practice location
1749 Gilsinn LN
Fenton, MO 63026-2008
Mailing address
1749 Gilsinn LN
Fenton, MO 63026-2008
Phone (636) 343-3839
Other names
- Alternative Palliative Care
Other providers in Fenton, MO
- Victoria L Allen
- Alliance Rehab and Medical Equipment
- Sana Almaaita
- Alternative Home Health Inc.
- Alternative Hospice LLC
- American Current Care of Kansas PA
- American Current Care PC
- Adam Anderson
- Dustin William Anderson
- Mary Ann L Anderson
All providers in Fenton, MO · Hospice and Palliative Medicine (Psychiatry & Neurology) Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.