Hospice of Limestone County, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

10240 Issued in AL

Legal business name

HOSPICE OF LIMESTONE COUNTY, INC

Practice address

405 S Marion St
Athens, AL 35611

Phone

(256) 232-5017

Fax

(256) 230-0085

NPI assigned

May 24, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia P King

Title

Executive Director

Phone

(256) 232-5017

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Hospice certification: CCN 011516

Legal name

HOSPICE OF LIMESTONE COUNTY, INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 9, 1989

Last certification

Jul 21, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationNon-profit

Incorporated

Mar 2, 1988 in AL

Enrollment address

405 S Marion St
Athens, AL 35611-2507

Listed as

Hospice of Limestone CountyCCN 011516 · All quality measures

Ownership

Other

Certified

Feb 9, 1989

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• William Woodall Jr., MD

  • Family Medicine Physician
  • Athens, AL
  • NPI 1720298375

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Melissa C Gray, M.D.

  • Family Medicine Physician
  • Athens, AL
  • NPI 1215298849

  Hospice

  Care Compare affiliation
• Matthew D Hanserd, MD

  • Internal Medicine Physician
  • Athens, AL
  • NPI 1942524434

  Hospice

  Care Compare affiliation
• Ramann Nallamala, MD

  • Internal Medicine Physician
  • Huntsville, AL
  • NPI 1407837073

  Hospice

  Care Compare affiliation
• Samantha Clark Ross, M.D.

  • Family Medicine Physician
  • Athens, AL
  • NPI 1700089893

  Hospice

  Care Compare affiliation
• William Woodall Jr., MD

  • Family Medicine Physician
  • Athens, AL
  • NPI 1720298375

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1487657375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "35612",
            "telephone_number": "256-232-5017",
            "fax_number": "256-230-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S MARION ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "35611",
            "telephone_number": "256-232-5017",
            "fax_number": "256-230-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF LIMESTONE COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "256-232-5017",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AL",
            "license": "10240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PIC1516E",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Nicole Hollins-Henderson, DPT
• Hometown Family Care
• Hometown Pediatrics LLC
• Hometown Pharmacy of Limestone County, LLC
• Angela Renae Hooper, PT
• Anna Hough, RDN, LDN
• Tammi D Howell, BC-HIS
• William Edward Hubbard Jr., LICSW
• William Phillip Humphrey, RPH, CCP
• Julia Tye Hutt, CRNP

• Community Based Hospice Care Agency in Athens, AL
• Providers in Athens, AL by specialty
• Community Based Hospice Care Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.