Provider Demographics
NPI:1437975380
Name:ALLEGIANT HOSPICE, LLC
Entity type:Organization
Organization Name:ALLEGIANT HOSPICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARI
Authorized Official - Middle Name:
Authorized Official - Last Name:STAWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-392-5200
Mailing Address - Street 1:2448 S 102ND STREET
Mailing Address - Street 2:SUITE 270
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53227-2147
Mailing Address - Country:US
Mailing Address - Phone:414-392-5200
Mailing Address - Fax:414-398-1275
Practice Address - Street 1:2448 S 102ND STREET
Practice Address - Street 2:SUITE 270
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53227-2147
Practice Address - Country:US
Practice Address - Phone:414-392-5200
Practice Address - Fax:414-398-1275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based