Provider Demographics
NPI:1669663472
Name:HOSPICE COMPLETE, INC
Entity Type:Organization
Organization Name:HOSPICE COMPLETE, INC
Other - Org Name:HOSPICE COMPLETE - TUSCALOOSA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-988-8669
Mailing Address - Street 1:2153 RIVERCHASE OFFICE RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35244-1836
Mailing Address - Country:US
Mailing Address - Phone:205-988-8669
Mailing Address - Fax:
Practice Address - Street 1:3064 PALISADES CT
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35405-3446
Practice Address - Country:US
Practice Address - Phone:205-633-3705
Practice Address - Fax:205-633-3755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-06
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALE6306OtherSTATE LICENSE
AL011677Medicare Oscar/Certification