Organization Active NPI

Hospice Preferred Choice, Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Evansville, IN
National Provider Identifier
1578825840
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
HOSPICE PREFERRED CHOICE, INC.
Practice address
1401 Professional Blvd
Suite 201
Evansville, IN 47714-8014
Phone
(812) 858-1032
NPI assigned
Jun 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Authorized official

Name
Paul Kusserow
Title
President
Phone
(225) 292-2031

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PH0002X
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X Primary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081H0002X
Hospice and Palliative Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084H0002X
Hospice and Palliative Medicine (Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086H0002X

Addresses

Primary practice location

1401 Professional Blvd
Suite 201
Evansville, IN 47714-8014

Mailing address

1401 Professional Blvd
Suite 201
Evansville, IN 47714-8014
Phone (812) 858-1032

Other names 1

  • AseraCare Palliative Care - Evansville Doing business as

National Provider Directory

National Provider Directory

Locations

1401 Professional Blvd
Ste 201
Evansville, IN 47714
Phone (812) 858-1032

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1578825840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 PROFESSIONAL BLVD",
            "address_2": "SUITE 201",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148014",
            "telephone_number": "812-858-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PROFESSIONAL BLVD",
            "address_2": "SUITE 201",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148014",
            "telephone_number": "812-858-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE PREFERRED CHOICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "KUSSEROW",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-292-2031"
    },
    "taxonomies": [
        {
            "code": "207PH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084H0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086H0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AseraCare Palliative Care - Evansville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AseraCare Palliative Care - Evansville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.