Provider Demographics
NPI:1972526846
Name:STRATFORD ENTERPRISES INC
Entity Type:Organization
Organization Name:STRATFORD ENTERPRISES INC
Other - Org Name:EXPECTCARE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:OSBORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-444-0126
Mailing Address - Street 1:501 RIVERCHASE PKWY E STE 200
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-1834
Mailing Address - Country:US
Mailing Address - Phone:205-444-0126
Mailing Address - Fax:205-444-0128
Practice Address - Street 1:501 RIVERCHASE PKWY E STE 200
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-1834
Practice Address - Country:US
Practice Address - Phone:205-444-0126
Practice Address - Fax:205-444-0128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12920251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALPIC1638EMedicaid
AL013-216OtherBLUE CROSS ALABAMA
ALPIC1638EMedicaid