Hospice of Northwest Alabama

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

11706 Issued in AL

Legal business name

HOSPICE OF NORTHWEST ALABAMA

Practice address

1315 US Highway 43
Winfield, AL 35594-5053

Phone

(205) 487-8140

Fax

(205) 487-8740

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Dianna Hamilton Cantrell, LBSW

Title

Executive Director

Phone

(205) 487-8140

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Hospice certification: CCN 011534

Legal name

HOSPICE OF NORTHWEST ALABAMA

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 15, 1994

Last certification

Jun 24, 2021

Ownership / control type

Non-Profit - Private

Organization structure

CorporationNon-profit

Incorporated

Sep 18, 1992 in AL

Enrollment address

1315 US Highway 43
Winfield, AL 35594-5053

Listed as

Hospice of Northwest AlabamaCCN 011534

Ownership

Non-Profit

Certified

Mar 15, 1994

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 1

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

Affiliated clinicians 1

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

• Gary Douglas Thomas, M.D.

  • Internal Medicine Physician
  • Winfield, AL
  • NPI 1407895261

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1902904568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1216",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355941216",
            "telephone_number": "205-487-8140",
            "fax_number": "205-487-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 US HIGHWAY 43",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355945053",
            "telephone_number": "205-487-8140",
            "fax_number": "205-487-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF NORTHWEST ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "HAMILTON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-487-8140",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LBSW"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AL",
            "license": "11706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PIC1534E",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hatfield Physician Services, Inc.
• HCC of Winfield LLC
• Heart to Heart Hospice Inc
• John William Holley II, DPT
• Alissa Anne Hood, C.R.N.P.
• Muhammad Zahid Husain, MD
• Inner Health Chiropractic, LLC
• Shelia Jackson, OT
• Jessica Nicole Johnigan
• Kaylea McGuire Johnson, PTA

• All providers in Winfield, AL
• Community Based Hospice Care Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.