SOUTHEAST HOSPICE NETWORK LLC NPI 1851458830

NPI Information

NPI: 1851458830
Provider Name: SOUTHEAST HOSPICE NETWORK, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 01D1083015

Address:
3001 ZELDA RD STE 300
MONTGOMERY, AL
ZIP 36106
Phone: (334) 260-2916
Get Directions

SOUTHEAST HOSPICE NETWORK, LLC is a hospice care community based in Montgomery, AL. SOUTHEAST HOSPICE NETWORK, LLC NPI is 1851458830. The provider is registered as an organization entity type.

The provider's business location address is:

3001 ZELDA RD STE 300
MONTGOMERY, AL
ZIP 36106-650
Phone: (334) 260-2916

The provider's authorized official is Debora Wilson .
The authorized official title is Executive Director and has the following contact phone number (205) 706-6809.

The CLIA number assigned to this NPI record is 01D1083015 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 5/20/2019.

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				Yes

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »