Aseracare Hospice - Tennessee, LLC
Organization Active NPI Nurse Practitioner · Clarksville, TN
NPI 1730508201 · NPPES record last updated Jul 6, 2020
Key facts
- NPI
- 1730508201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- ASERACARE HOSPICE - TENNESSEE, LLC
- Practice address
- 1539 Ashland City Rd Ste C
Clarksville, TN 37040-6416 - Phone
- (931) 551-4100
- NPI assigned
- Apr 14, 2014
- Organization subpart
- No
Authorized official
- Name
- Paul Kusserow
- Title
- President
- Phone
- (225) 292-2031
Member of 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D1033681 | Aseracare Hospice-Tennessee LLC | Certificate of waiver | Nov 14, 2026 |
National Provider Directory
Locations
1539 Ashland City Rd
Ste C
Clarksville, TN 37040
Phone (931) 551-4100
1539 Ashland City Rd
Ste D
Clarksville, TN 37040
Phone (931) 551-4100
250 N Parkway
Ste 11
Jackson, TN 38305
Phone (731) 660-4283
1386 Union University Dr
Ste E
Jackson, TN 38305
Phone (731) 660-4283
1939 Cedar St
#A
Mc Kenzie, TN 38201
Phone (731) 352-1340
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | |||
| Hospice and Palliative Medicine (Emergency Medicine) Physician |
207PH0002X | |||
| Hospice and Palliative Medicine (Family Medicine) Physician |
207QH0002X | |||
| Hospice and Palliative Medicine (Internal Medicine) Physician |
207RH0002X | |||
| Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician |
2081H0002X | |||
| Hospice and Palliative Medicine (Psychiatry & Neurology) Physician |
2084H0002X | |||
| Hospice and Palliative Medicine (Surgery) Physician |
2086H0002X | |||
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
1539 Ashland City Rd Ste C
Clarksville, TN 37040-6416
Mailing address
3854 American Way Ste a
Baton Rouge, LA 70816-4897
Phone (225) 292-2031
Other names
- PRIME by AseraCare
Other providers in Clarksville, TN
- Sunil Kumar Arunagiri
- Linda Joan Arzente
- Ascend Anesthesia Partners PLLC
- Ascend Medical Group, LLC
- Sammie Ascher
- Moda Princess Assee
- Caitlin Asselta
- Associated Podiatrists of Tennessee
- Roane Claridad Astudillo
- Reagan Atkins
All providers in Clarksville, TN · Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.