Active NPI
Hospice of Tennessee Valley, Inc.
- Community Based Hospice Care Agency
- Florence, AL
National Provider Identifier
1619083391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 12844
- Legal business name
- HOSPICE OF TENNESSEE VALLEY, INC.
- Practice address
- 200 West Tennessee Street
Florence, AL 35630 - Phone
- (256) 767-1322
- Fax
- (256) 718-0077
- NPI assigned
- Aug 22, 2006
- Last updated
- Nov 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Blake Edwards
- Title
- Administrator
- Phone
- (256) 767-1322
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 12844 | AL | Primary |
Addresses
Primary practice location
200 West Tennessee Street
Florence, AL 35630
Mailing address
200 West Tennessee Street
Florence, AL 35630
Phone (256) 767-1322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
200 W Tennessee St
Florence, AL 35630
Phone (256) 284-7250
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Aug 6, 2018 | Change of Ownership | Preferred Hospice |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Preferred Hospice
- Community Based Hospice Care Agency
- Florence, AL
- NPI 1306322854
Sold to, 2018-08-06
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.
-
- Nurse Practitioner
- Muscle Shoals, AL
- NPI 1972894442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227225600000",
"number": "1619083391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WEST TENNESSEE STREET",
"city": "FLORENCE",
"state": "AL",
"postal_code": "35630",
"telephone_number": "256-767-1322",
"fax_number": "256-718-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WEST TENNESSEE STREET",
"city": "FLORENCE",
"state": "AL",
"postal_code": "35630",
"telephone_number": "256-767-1322",
"fax_number": "256-718-0077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE OF TENNESSEE VALLEY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-22",
"last_updated": "2008-11-21",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "BLAKE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "256-767-1322",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "AL",
"license": "12844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.