Organization Active NPI

Hospice of Tennessee Valley, Inc.

  • Community Based Hospice Care Agency
  • Florence, AL
National Provider Identifier
1619083391
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
12844 Issued in AL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

200 W Tennessee St
Florence, AL 35630
Phone (256) 284-7250

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Aug 6, 2018 Change of OwnershipThis provider was the seller Preferred HospiceCCN 011592, AL, NPI 1306322854

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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": "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

Verify at the official NPI Registry.