LAKESIDE HOSPICE INC. NPI 1346244399

NPI Information

NPI: 1346244399
Provider Name: LAKESIDE HOSPICE INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 01D0887411

Address:
4010 MASTERS RD
PELL CITY, AL
ZIP 35128
Phone: (205) 884-1111
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LAKESIDE HOSPICE INC. is a hospice care community based in Pell City, AL. LAKESIDE HOSPICE INC. NPI is 1346244399. The provider is registered as an organization entity type.

The provider's business location address is:

4010 MASTERS RD
PELL CITY, AL
ZIP 35128-550
Phone: (205) 884-1111
Fax: (205) 884-1114

The provider's authorized official is Paul M Garing .
The authorized official title is Executive Director and has the following contact phone number (205) 884-1111.

The CLIA number assigned to this NPI record is 01D0887411 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2005 and was last updated on 2/4/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		10266	ALABAMA	Yes
2	251G00000X	Hospice Care, Community Based				No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010-727	OTHER	ALABAMA	BCBS
2	P1C1526E	MEDICAID	ALABAMA

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

NPI Synchronization or Removal

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