NPIMap

Organization Active NPI

Alternative Hospice LLC

Doing business as Alternative Palliative Care

  • Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
  • Fenton, MO
National Provider Identifier
1477977700
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084H0002X
License
MO2001016352 Issued in MO
Legal business name
ALTERNATIVE HOSPICE LLC
Doing business as
Alternative Palliative Care
Practice address
1749 Gilsinn LN
Fenton, MO 63026-2008
Phone
(636) 343-3839
Fax
(636) 343-6367
NPI assigned
Feb 6, 2014
Last updated
Feb 6, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
ALTERNATIVE HOSPICE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Authorized official

Name
Greg Spence
Title
Owner
Phone
(636) 349-2311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084H0002X MO2001016352 MO Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 1

  • Alternative Palliative Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140520000100 MO Part B Supplier - Clinic/Group Practice 1759382864 Receives reassigned benefits from 1 practitioner
Practice locations: Fenton, MO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Alternative Hospice LLC2 organizations share this tax ID, including this one
Part of
Alternative Hospice LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Alternative Hospice LLCFenton, MO, CCN 261613 Hospice Operational/Managerial Control (50%) Jan 1, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1477977700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 GILSINN LN",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262008",
            "telephone_number": "636-343-3839",
            "fax_number": "636-343-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 GILSINN LN",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262008",
            "telephone_number": "636-343-3839",
            "fax_number": "636-343-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE HOSPICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTERNATIVE HOSPICE LLC",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-349-2311"
    },
    "taxonomies": [
        {
            "code": "2084H0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
            "state": "MO",
            "license": "MO2001016352",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "142859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alternative Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fenton, MO

Sources for this page

Verify at the official NPI Registry.