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COMFORT CARE HOSPICE LLC NPI 1710926159


NPI Information

NPI: 1710926159
Provider Name: COMFORT CARE HOSPICE, LLC

Doing Business As: AVEANNA HOSPICE OF MONTGOMERY

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
315 SAINT LUKES DR
MONTGOMERY, AL
ZIP 36117
Phone: (334) 514-0244
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COMFORT CARE HOSPICE, LLC is a hospice care community based in Montgomery, AL. COMFORT CARE HOSPICE, LLC NPI is 1710926159. The provider is registered as an organization entity type.
The provider Is Doing Business As Aveanna Hospice Of Montgomery.

The provider's business location address is:

315 SAINT LUKES DR
MONTGOMERY, AL
ZIP 36117-109
Phone: (334) 514-0244
Fax: (334) 514-0241

The provider's authorized official is Shannon Drake .
The authorized official title is Chief Legal Officer and has the following contact phone number (470) 464-8000.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 9/21/2023.


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 Based11673ALABAMAYes

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
1105143MEDICAIDALABAMA

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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