NPIMap

Organization Active NPI

Wiregrass Hospice, LLC

Doing business as Gentiva

  • Community Based Hospice Care Agency
  • Huntsville, AL
National Provider Identifier
1568635472
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
WIREGRASS HOSPICE, LLC
Doing business as
Gentiva
Practice address
5000 Bradford Dr NW Ste 3a
Huntsville, AL 35805-1937
Phone
(256) 837-1290
Fax
(256) 837-1540
NPI assigned
Apr 11, 2008
Last updated
Aug 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Jennifer Tyler
Title
VP of Regulatory Counsel
Phone
(704) 664-2876

Specialties & licenses 1

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

Addresses

Primary practice location

5000 Bradford Dr NW Ste 3a
Huntsville, AL 35805-1937

Mailing address

PO Box 4060
Attn: Regulatory
Mooresville, NC 28117-4060
Phone (704) 664-2876

Other practice location 1

3225 Rainbow Dr Ste 256
Rainbow City, AL 35906-5861
Phone (256) 442-3208

Other practice location 2

3230 Florence Blvd
Florence, AL 35634-2539
Phone (256) 764-0873

Other practice location 3

1015 1st Ave SW Ste B
Cullman, AL 35055-4201
Phone (256) 737-7234

Other identifiers 4

IdentifierTypeStateIssuer
120360MedicaidAL
120491MedicaidAL
123239MedicaidAL
PIC1021EMedicaidAL

Other names 1

  • Gentiva Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080717000078 AL Part A Provider - Hospice 9931019577 Practice locations: Cullman, AL; Rainbow City, AL; Florence, AL; Huntsville, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568635472. Details of each certification follow.

Hospice certification: CCN 011674

Legal name
WIREGRASS HOSPICE, LLC
Doing business as
GENTIVA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 28, 2008
Last certification
Aug 8, 2014
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
5000 Bradford Dr NW
Ste 3a
Huntsville, AL 35805-1937

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Gentiva HuntsvilleCCN 011674 · All quality measures
Ownership
For-Profit
Certified
Aug 28, 2008
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D1020277Wiregrass Hospice LLC5000 Bradford Drive NW Ste 3a, Huntsville, AL 35805Certificate of waiverDec 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Wiregrass Hospice LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2305 Hand Ave
Ste 34
Bay Minette, AL 36507
Phone (251) 937-3804

118 6th St S
Ste 504
Clanton, AL 35045
Phone (205) 755-1505

1015 1st Ave SW
#B
Cullman, AL 35055
Phone (256) 737-7234

9037 Independence Ave
Daphne, AL 36526
Phone (251) 621-3733

1219 Rucker Blvd
Enterprise, AL 36330
Phone (334) 347-3353

831 W Washington St
Eufaula, AL 36027
Phone (334) 616-0061

216 Marengo St
Ste F
Florence, AL 35630
Phone (256) 760-0076

2530 Florence Blvd
Ste B
Florence, AL 35630
Phone (256) 764-0873

3230 Florence Blvd
Florence, AL 35634
Phone (256) 764-0873

2084 Valleydale Rd
Hoover, AL 35244
Phone (205) 682-9441

303 Williams Ave SW
Ste 116
Huntsville, AL 35801
Phone (256) 519-8808

301 N Walston Bridge Rd
Ste 102
Jasper, AL 35504
Phone (205) 384-3882

74 Industrial Pkwy
Jasper, AL 35501
Phone (205) 384-3882

4358 Midmost Dr
Ste 101
Mobile, AL 36609
Phone (251) 634-2402

6985 Halcyon Park Dr
Montgomery, AL 36117
Phone (334) 271-1293

730 Energy Center Blvd
Ste 1402D
Northport, AL 35473
Phone (205) 345-6673

105 S Whaley St
Opp, AL 36467
Phone (334) 493-4555

1901 Stadium Dr
Ste C
Phenix City, AL 36867
Phone (334) 448-4123

3225 Rainbow Dr
Ste S
Rainbow City, AL 35906
Phone (256) 442-3208

200 Central Park Pl
Selma, AL 36701
Phone (334) 872-6637

199 Highway 231 N
Troy, AL 36081
Phone (334) 246-4774

851 S Willow Ave
Ste 102
Cookeville, TN 38501
Phone (931) 528-5133

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Crystal Holder Individual W-2 Managing EmployeeAd; Sep 7, 2023
CH Services Midco Holdings Inc Organization, Mooresville, NC Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Kentucky Homecare Parent Inc. Organization, Atlanta, GA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Ronald C Lazas Individual Corporate OfficerSecretary & General Counsel Apr 27, 2021
Curo Health Services Holdings, Inc Organization, Mooresville, NC Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
David Robinson Arnold Individual Corporate OfficerVP and Controller Dec 31, 2021
Wiregrass Hospice Care LLC Organization, Atlanta, GA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 28, 2008 100%
Thomas Joseph Dolan Individual Corporate OfficerCfo Nov 30, 2021
Charlotte Midco, LLC Organization, Atlanta, GA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
Kentucky Homecare Holdings, Inc. Organization, Atlanta, GA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Humana Inc Organization, Louisville, KY Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Falcon Hospice, LP Organization, Atlanta, GA For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
David Allen Causby Individual Corporate OfficerChief Executive Officer & President Apr 27, 2021
Charlotte Buyer, Inc. Organization, Mooresville, NC Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Curo Health Services LLC Organization, Mooresville, NC LLC, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 11, 2018 100%
Janet L Combs Individual Corporate OfficerVP of Licensure Nov 1, 2021
CD&R Falcon Holdings, LP Organization, New York, NY For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2022 60%
Centerwell Health Services Inc Organization, Louisville, KY Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Kah Hospice Company, Inc Organization, Atlanta, GA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Horizon Health Network, LLC Organization, Atlanta, GA LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 28, 2008 100%
Jason P Lockette Individual Contracted Managing EmployeeMD; Oct 26, 2022
CH Services Group Holdings Inc Organization, Mooresville, NC Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
CH Services Holdings Inc Organization, Mooresville, NC Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%

Owners & managing parties with NPI records 19

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

View all 19

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Emerald Coast HospicePanama City, FL, CCN 101537 Hospice Operational/Managerial Control (100%) Mar 15, 2000

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 196

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 196

Practitioners & affiliated clinicians

Practitioners 7

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.

Affiliated clinicians 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1568635472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4060",
            "address_2": "ATTN: REGULATORY",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281174060",
            "telephone_number": "704-664-2876",
            "fax_number": "704-230-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BRADFORD DR NW STE 3A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358051937",
            "telephone_number": "256-837-1290",
            "fax_number": "256-837-1540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3225 Rainbow Dr Ste 256",
            "address_purpose": "LOCATION",
            "city": "Rainbow City",
            "state": "AL",
            "postal_code": "359065861",
            "country_code": "US",
            "telephone_number": "256-442-3208",
            "fax_number": "256-442-3968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3230 Florence Blvd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356342539",
            "country_code": "US",
            "telephone_number": "256-764-0873",
            "fax_number": "256-766-6898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 1st Ave SW Ste B",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "350554201",
            "country_code": "US",
            "telephone_number": "256-737-7234",
            "fax_number": "256-737-7356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WIREGRASS HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VP OF REGULATORY COUNSEL",
        "authorized_official_telephone_number": "704-664-2876"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120360",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120491",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123239",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PIC1021E",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentiva",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.