Hospice Advantage, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

2010 Issued in WI

Legal business name

HOSPICE ADVANTAGE, LLC

Practice address

1026 S Taylor Dr
Sheboygan, WI 53081-4773

Phone

(920) 452-1851

Fax

(920) 452-1852

NPI assigned

Sep 1, 2005

Last updated

Jan 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jody Holman

Title

Administrator

Phone

(920) 452-1851

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hospice Advantage, Inc Former legal business name

Member of 1

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

• Hospice Advantage Midco, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Auburn, AL
  • NPI 1093238248

  Member Of

  NPD member

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1659365864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 S TAYLOR DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814773",
            "telephone_number": "920-452-1851",
            "fax_number": "920-452-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 S TAYLOR DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814773",
            "telephone_number": "920-452-1851",
            "fax_number": "920-452-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE ADVANTAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "920-452-1851"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "WI",
            "license": "2010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43190200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice Advantage, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Home Comfort Lymphedema Therapy LLC
• Patricia A Horn, PHD
• Rachael Bree Hosein, MBBS
• Hospice Advantage, Inc. (Home and Hospice Advantage, Inc.)
• Hospice Advantage, LLC (Compassus - Milwaukee)
• Hospice and Palliative Care Consultants
• Sarah House
• David John Houserman
• Kerry Ann Howard, LPC
• Walter T Howard, MD

• Community Based Hospice Care Agency in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Community Based Hospice Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.