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AMEDISYS HOSPICE L.L.C. NPI 1104016658


NPI Information

NPI: 1104016658
Provider Name: AMEDISYS HOSPICE, L.L.C.

Doing Business As: AMEDISYS HOSPICE OF FLORENCE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 01D1044160

Address:
412 S COURT ST
SUITE 302
FLORENCE, AL
ZIP 35630
Phone: (256) 760-7877
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AMEDISYS HOSPICE, L.L.C. is a hospice care community based in Florence, AL. AMEDISYS HOSPICE, L.L.C. NPI is 1104016658. The provider is registered as an organization entity type.
The provider Is Doing Business As Amedisys Hospice Of Florence.

The provider's business location address is:

412 S COURT ST
SUITE 302
FLORENCE, AL
ZIP 35630-645
Phone: (256) 760-7877
Fax: (256) 760-7886

The provider's authorized official is Paul Kisserow .
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 01D1044160 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2007 and was last updated on 10/3/2016.


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
1251G00000XHospice Care, Community BasedE3911ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1011669MEDICARE OSCAR/CERTIFICATIONALABAMA
2101086MEDICAIDALABAMA
3122453MEDICAIDALABAMA

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.