WIREGRASS HOSPICE LLC NPI 1770519324

NPI Information

  • NPI: 1770519324
  • Provider Name: WIREGRASS HOSPICE, LLC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • Doing Business As: GENTIVA
  • CLIA Number: 01D1020277
  • Address: 2431 W MAIN ST STE 1102
    DOTHAN, AL
    ZIP 36301
  • Phone: (334) 792-1100

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NPI Details

WIREGRASS HOSPICE, LLC is a hospice care community based in Dothan, AL. WIREGRASS HOSPICE, LLC NPI is 1770519324. The provider is registered as an organization entity type.
The provider Is Doing Business As Gentiva.

The provider's business location address is:

2431 W MAIN ST STE 1102
DOTHAN, AL
ZIP 36301-250
Phone: (334) 792-1100
Fax: (334) 671-4168

The provider's authorized official is Janet Combs .
The authorized official title is Vp Of Licensure and has the following contact phone number (704) 664-2876.

The CLIA number assigned to this NPI record is 01D1020277 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 1/17/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251G00000XHospice Care, Community BasedYes

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
1PIC 1014EMEDICAIDALABAMA
2PIC 1018EMEDICAIDALABAMA
3PIC 1023EMEDICAIDALABAMA
4PIC 1024EMEDICAIDALABAMA
5PIC 1025EMEDICAIDALABAMA
6PIC 1027EMEDICAIDALABAMA
7PIC 1026EMEDICAIDALABAMA
8PIC 1017EMEDICAIDALABAMA
9PIC 1522EMEDICAIDALABAMA

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: 3/30/2025

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