1073635645 NPI number — CARING HANDS HOSPICE, INC.

Table of content: (NPI 1073635645)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073635645 NPI number — CARING HANDS HOSPICE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARING HANDS HOSPICE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073635645
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/03/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4930 RICE MINE ROAD NE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TUSCALOOSA
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35406-2671
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-349-3065
Provider Business Mailing Address Fax Number:
205-349-3295

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4930 RICE MINE ROAD NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TUSCALOOSA
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35406-2671
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-349-3065
Provider Business Practice Location Address Fax Number:
205-349-3295
Provider Enumeration Date:
04/04/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ASH
Authorized Official First Name:
IAN
Authorized Official Middle Name:
K.
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
404-644-5134

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X , with the licence number:  011548 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251G00000X , with the licence number: E6304 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PIC-1548E , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".