Active NPI
Hospice Preferred Choice Inc
- Hospice and Palliative Medicine (Family Medicine) Physician
- Council Bluffs, IA
National Provider Identifier
1871915959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- Legal business name
- HOSPICE PREFERRED CHOICE INC
- Doing business as
- Prime by AseraCare
- Practice address
- 411 E Broadway
Council Bluffs, IA 51503-4417 - Phone
- (712) 325-1751
- NPI assigned
- Jan 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Kusserow
- Title
- President
- Phone
- (225) 292-2031
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Emergency Medicine) Physician | 207PH0002X | |||
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | Primary | ||
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | |||
| Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | 2081H0002X | |||
| Hospice and Palliative Medicine (Surgery) Physician | 2086H0002X |
Addresses
Primary practice location
411 E Broadway
Council Bluffs, IA 51503-4417
Mailing address
3854 American Way Ste a
Baton Rouge, LA 70816-4897
Phone (225) 292-2031
Other names 1
- Prime by AseraCare
National Provider Directory
National Provider DirectoryLocations
411 E Broadway
Council Bluffs, IA 51503
Phone (402) 391-7575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593993600000",
"number": "1871915959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3854 AMERICAN WAY STE A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708164897",
"telephone_number": "225-292-2031",
"fax_number": "225-295-9678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 E BROADWAY",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515034417",
"telephone_number": "712-325-1751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE PREFERRED CHOICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-09",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A",
"authorized_official_last_name": "KUSSEROW",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "225-292-2031"
},
"taxonomies": [
{
"code": "207PH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081H0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086H0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Prime by AseraCare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Prime by AseraCare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.