ASERACARE HOSPICE - TENNESSEE LLC NPI 1750329181

NPI Information

NPI: 1750329181
Provider Name: ASERACARE HOSPICE - TENNESSEE, LLC

Doing Business As: ASERACARE HOSPICE

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

Address:
1939A CEDAR ST
MC KENZIE, TN
ZIP 38201
Phone: (731) 352-1340
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ASERACARE HOSPICE - TENNESSEE, LLC is a hospice care community based in Mc Kenzie, TN. ASERACARE HOSPICE - TENNESSEE, LLC NPI is 1750329181. The provider is registered as an organization entity type.
The provider Is Doing Business As Aseracare Hospice.

The provider's business location address is:

1939A CEDAR ST
MC KENZIE, TN
ZIP 38201-205
Phone: (731) 352-1340

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 44D1038297 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

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	0441581	MEDICAID	TENNESSEE
2	34853	OTHER		TLC
3	4088750	OTHER	TENNESSEE	BCBS
4	OMNI-20-1188153	MEDICAID	TENNESSEE
5	000000159166	OTHER	TENNESSEE	BETTER HEALTH PLAN

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: 5/5/2024

NPI Synchronization or Removal

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