NPIMap

Organization Active NPI

Monroe County Health Care Authority

Doing business as Hospice of Monroe County

  • Community Based Hospice Care Agency
  • Monroeville, AL
National Provider Identifier
1699202341
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
15638 Issued in AL
Legal business name
MONROE COUNTY HEALTH CARE AUTHORITY
Doing business as
Hospice of Monroe County
Practice address
2016 S Alabama Ave
Monroeville, AL 36460-3044
Phone
(251) 575-3111
NPI assigned
May 12, 2017
Last updated
May 12, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
MONROE COUNTY HOSPITAL BOARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Authorized official

Name
Mr. Jeffrey M Brannon, RN
Title
Ceo
Phone
(251) 743-7477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 15638 AL Primary

Addresses

Primary practice location

2016 S Alabama Ave
Monroeville, AL 36460-3044

Mailing address

2016 S Alabama Ave
Monroeville, AL 36460-3044
Phone (251) 575-3111

Other names 1

  • Hospice of Monroe County Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171027000608 AL Part A Provider - Hospice 2668365859 Practice locations: Monroeville, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699202341. Details of each certification follow.

Hospice certification: CCN 011685

Legal name
MONROE COUNTY HEALTH CARE AUTHORITY
Doing business as
HOSPICE OF MONROE COUNTY
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 8, 2018
Last certification
Aug 12, 2021
Ownership / control type
Other
Organization structure
CorporationNon-profit
Enrollment address
2016 S Alabama Ave
Monroeville, AL 36460-3044

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of Monroe CountyCCN 011685 · All quality measures
Ownership
For-Profit
Certified
Mar 8, 2018
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
MCH Surge3Ry Clinic9 organizations share this tax ID, including this one
Part of
MCH Surge3Ry Clinic

Other organizations with this tax ID 8

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

Locations

2016 S Alabama Ave
Ste C
Monroeville, AL 36460
Phone (251) 743-7378

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Albert R Boroughs Individual Corporate Director Oct 1, 2019 5%
Barbara Turner Individual Corporate Director Oct 1, 2019 5%
Monroe County Health Care Authority Organization, Monroeville, AL Operational/Managerial Control Oct 1, 2019 100%
Elizabeth Kirby Individual Corporate OfficerCeo Dec 1, 2021 5%
W-2 Managing Employee Dec 1, 2021 5%
June Wiggins Individual Corporate DirectorBusiness Office/Rev Cycle/Him Direc Feb 16, 2026
W-2 Managing EmployeeBusiness Office/Rev Cycle/Him Dir Feb 16, 2026
Wes Hines Individual Corporate Director Oct 1, 2019 5%
Jason W Anglin Individual Corporate DirectorChief Executive Officer Mar 24, 2026
W-2 Managing EmployeeChief Executive Officer Mar 24, 2026
Pamala J Gibbs Individual Corporate Director Oct 1, 2019 5%
Hybart Doug Sewell Individual 5% Or Greater Direct Ownership Interest Sep 29, 2021

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Monroe County HospitalMonroeville, AL, CCN 011310 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2025
MCH Rural Health ClinicMonroeville, AL, CCN 013483 Rural health clinic Operational/Managerial Control (100%) Oct 1, 2019

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 6

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

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1699202341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 S ALABAMA AVE",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364603044",
            "telephone_number": "251-575-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 S ALABAMA AVE",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364603044",
            "telephone_number": "251-575-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE COUNTY HEALTH CARE AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONROE COUNTY HOSPITAL BOARD",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "BRANNON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "251-743-7477",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AL",
            "license": "15638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice of Monroe County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroeville, AL

Sources for this page

Verify at the official NPI Registry.