Provider Demographics
NPI:1093126716
Name:JOURNEY HOSPICE OF ALABAMA,LLC
Entity Type:Organization
Organization Name:JOURNEY HOSPICE OF ALABAMA,LLC
Other - Org Name:JOURNEY HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:KYLE
Authorized Official - Last Name:RICE
Authorized Official - Suffix:SR
Authorized Official - Credentials:NONE
Authorized Official - Phone:901-351-1450
Mailing Address - Street 1:4128 CROSSHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-5228
Mailing Address - Country:US
Mailing Address - Phone:901-351-1450
Mailing Address - Fax:
Practice Address - Street 1:4128 CROSSHAVEN DR
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-5228
Practice Address - Country:US
Practice Address - Phone:901-351-1450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-15
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based