Provider Demographics
NPI:1275667438
Name:COMPASSIONATE HANDS HOSPICE, INC.
Entity Type:Organization
Organization Name:COMPASSIONATE HANDS HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:S
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-684-8828
Mailing Address - Street 1:712 W MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:AL
Mailing Address - Zip Code:36340-1632
Mailing Address - Country:US
Mailing Address - Phone:334-684-8828
Mailing Address - Fax:
Practice Address - Street 1:712 W MAPLE AVE
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:AL
Practice Address - Zip Code:36340-1632
Practice Address - Country:US
Practice Address - Phone:334-684-8828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALE3101251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALPIC1599EMedicaid
AL012-347OtherBLUE CROSS PROVIDER NUMBE
AL012-347OtherBLUE CROSS PROVIDER NUMBE