NPIMap

Organization Active NPI

Life Care Hospice, LLC

  • Community Based Hospice Care Agency
  • Gardendale, AL
National Provider Identifier
1861785735
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
6465 Issued in AL
Legal business name
LIFE CARE HOSPICE, LLC
Practice address
934 Grubbs Ave
Gardendale, AL 35071-2637
Phone
(205) 631-6636
Fax
(205) 631-6607
NPI assigned
May 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Authorized official

Name
Ms. Vicki Gail Trull
Title
Adminisrtator
Phone
(256) 339-0431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 6465 AL Primary

Addresses

Primary practice location

934 Grubbs Ave
Gardendale, AL 35071-2637

Mailing address

934 Grubbs Ave
Gardendale, AL 35071-2637
Phone (205) 631-6636

Other identifiers 2

IdentifierTypeStateIssuer
073-P3725OtherALSHPDA ID NUMBER
E3727OtherALSTALE LICENSE

Other names 1

  • Life Care Hospice, Birmingham Doing business as

National Provider Directory

National Provider Directory
Tax ID family
LCH Acquisition LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

934 Grubbs Ave
Gardendale, AL 35071
Phone (205) 608-1233

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1861785735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 GRUBBS AVE",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712637",
            "telephone_number": "205-631-6636",
            "fax_number": "205-631-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 GRUBBS AVE",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712637",
            "telephone_number": "205-631-6636",
            "fax_number": "205-631-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "TRULL",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "ADMINISRTATOR",
        "authorized_official_telephone_number": "256-339-0431",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AL",
            "license": "6465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHPDA ID NUMBER",
            "identifier": "073-P3725",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STALE LICENSE",
            "identifier": "E3727",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Care Hospice, Birmingham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardendale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.