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HOSPICE ADVANTAGE LLC NPI 1306883947


NPI Information

NPI: 1306883947
Provider Name: HOSPICE ADVANTAGE, LLC

Doing Business As: COMPASSUS - MILWAUKEE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
2124 KOHLER MEMORIAL DR STE 200A
SHEBOYGAN, WI
ZIP 53081
Phone: (920) 452-1851
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HOSPICE ADVANTAGE, LLC is a hospice care community based in Sheboygan, WI. HOSPICE ADVANTAGE, LLC NPI is 1306883947. The provider is registered as an organization entity type.
The provider Is Doing Business As Compassus - Milwaukee.

The provider's business location address is:

2124 KOHLER MEMORIAL DR STE 200A
SHEBOYGAN, WI
ZIP 53081-178
Phone: (920) 452-1851
Fax: (920) 452-1854

The provider's authorized official is Russell Adkins .
The authorized official title is Svp General Counsel and has the following contact phone number (615) 309-5668.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 12/7/2022.


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 Based2012WISCONSINYes

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
143190400MEDICAIDWISCONSIN

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

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