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ASERACARE HOSPICE - TENNESSEE LLC NPI 1730508201


NPI Information

NPI: 1730508201
Provider Name: ASERACARE HOSPICE - TENNESSEE, LLC

Doing Business As: PRIME BY ASERACARE

Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 44D1033681

Address:
1539 ASHLAND CITY RD STE C
CLARKSVILLE, TN
ZIP 37040
Phone: (931) 551-4100
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ASERACARE HOSPICE - TENNESSEE, LLC is a nurse practitioner in Clarksville, TN. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. ASERACARE HOSPICE - TENNESSEE, LLC NPI is 1730508201. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Prime By Aseracare.

The provider's business location address is:

1539 ASHLAND CITY RD STE C
CLARKSVILLE, TN
ZIP 37040-416
Phone: (931) 551-4100

The provider's authorized official is Paul Kusserow .
The authorized official title is President and has the following contact phone number (225) 292-2031.

The CLIA number assigned to this NPI record is 44D1033681 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/14/2014 and was last updated on 7/6/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerNo
2363L00000XNurse PractitionerYes
3207PH0002XEmergency MedicineHospice and Palliative MedicineNo
4207QH0002XFamily MedicineHospice and Palliative MedicineNo
5207RH0002XInternal MedicineHospice and Palliative MedicineNo
62081H0002XPhysical Medicine & RehabilitationHospice and Palliative MedicineNo
72084H0002XPsychiatry & NeurologyHospice and Palliative MedicineNo
82086H0002XSurgeryHospice and Palliative MedicineNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.