Cahaba Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

11646 Issued in AL

Legal business name

CAHABA HOSPICE, INC.

Practice address

410 Church St
Selma, AL 36701-4514

Phone

(334) 418-0566

Fax

(334) 418-0570

NPI assigned

Oct 10, 2006

Last updated

Nov 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard Ware

Title

Ceo/Owner

Phone

(334) 418-0566

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1952499808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CHURCH ST",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367014514",
            "telephone_number": "334-418-0566",
            "fax_number": "334-418-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CHURCH ST",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367014514",
            "telephone_number": "334-418-0566",
            "fax_number": "334-418-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAHABA HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "334-418-0566",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AL",
            "license": "11646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PIC1549E",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "011-678",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Butler
• Amjad I Butt, MD
• Ephraim Reyes Caangay, MD
• Cahaba Center for Mental Health
• Cahaba Center for Mental Health and Mental Retardation
• Kimberly Campbell, CRNP
• Cardiac Institute of South Alabama, LLC
• Cardiovascular Institue of Selma, LLC
• Amy Collins Carmichael, MS, ALC
• Carter Drug Co Inc (Carter Drugs)

• Community Based Hospice Care Agency in Selma, AL
• Providers in Selma, AL by specialty
• Community Based Hospice Care Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.