Provider Demographics
NPI:1114971967
Name:HOMECHOICE OF ALABAMA, LLC
Entity Type:Organization
Organization Name:HOMECHOICE OF ALABAMA, LLC
Other - Org Name:SPRINGHILL HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSLOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-576-0087
Mailing Address - Street 1:2200 6TH AVE STE 1200
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-1836
Mailing Address - Country:US
Mailing Address - Phone:206-576-0087
Mailing Address - Fax:
Practice Address - Street 1:22 MOBILE ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3121
Practice Address - Country:US
Practice Address - Phone:251-433-8172
Practice Address - Fax:251-433-8365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11720251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
011642Medicare ID - Type Unspecified