Provider Demographics
NPI:1508087982
Name:HOSPICE COMPLETE, INC
Entity Type:Organization
Organization Name:HOSPICE COMPLETE, INC
Other - Org Name:HOSPICE COMPLETE - TRUSSVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:205-228-0600
Mailing Address - Street 1:3648 VANN RD
Mailing Address - Street 2:SUITE 117
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3273
Mailing Address - Country:US
Mailing Address - Phone:205-228-0600
Mailing Address - Fax:
Practice Address - Street 1:3648 VANN RD
Practice Address - Street 2:SUITE 117
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3273
Practice Address - Country:US
Practice Address - Phone:205-228-0600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALE3728251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL01-1657Medicare ID - Type UnspecifiedPROVIDER NUMBER