Provider Demographics
NPI:1346265329
Name:PINEVIEW HOSPICE LLC
Entity Type:Organization
Organization Name:PINEVIEW HOSPICE LLC
Other - Org Name:PINEVIEW HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KAY
Authorized Official - Middle Name:S
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-652-4365
Mailing Address - Street 1:PO BOX 176
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:AL
Mailing Address - Zip Code:35470-0176
Mailing Address - Country:US
Mailing Address - Phone:205-652-4365
Mailing Address - Fax:205-652-6624
Practice Address - Street 1:115 SMITH AVE.
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:AL
Practice Address - Zip Code:35470-0176
Practice Address - Country:US
Practice Address - Phone:205-652-4365
Practice Address - Fax:205-652-6624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11743251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALPIC1584EMedicaid
AL011584Medicare ID - Type Unspecified