Provider Demographics
NPI:1033132337
Name:ALABAMA HOSPICE INC
Entity Type:Organization
Organization Name:ALABAMA HOSPICE INC
Other - Org Name:ALABAMA REGIONAL HOSPICE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:L
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:205-655-0753
Mailing Address - Street 1:PO BOX 279
Mailing Address - Street 2:
Mailing Address - City:TRUSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35173-0279
Mailing Address - Country:US
Mailing Address - Phone:205-655-0753
Mailing Address - Fax:205-655-0768
Practice Address - Street 1:413 MAIN ST STE D
Practice Address - Street 2:
Practice Address - City:TRUSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35173-1482
Practice Address - Country:US
Practice Address - Phone:205-655-0753
Practice Address - Fax:205-655-0768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11686251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALE3727OtherDEPT OF PUBLIC HEALTH
ALE3727OtherDEPT OF PUBLIC HEALTH