COUNTRYSIDE HOSPICE CARE INC (NPI# 1275571259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275571259 |
Entity Type | Organization |
Organization Name | COUNTRYSIDE HOSPICE CARE INC |
Practice Address |
955 S Three Notch St Andalusia AL 36420-5231 |
Mailing Address |
1021 Noble St Suite 207 Anniston AL 36201-4607 |
Practice Telephone | 3342227048 |
Practice Fax Number | 3344277246 |
Mailing Telephone | 2562319190 |
Mailing Fax Number | 2562319190 |
Enumeration Date | 2006-06-03 |
Last Update Date | 2008-05-20 |
Authorized Official Name | MS. NANCY C JAKUS (PRESIDENT CEO) |
Authorized Official Telephone | 2562319190 |
Authorized Official Credential | BSN MBA RN |
Is Organization Subpart | Y |
Parent Organization Name | COUNTRYSIDE HOSPICE CARE INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | 11636 | AL | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | ALABAMA HOSPICE LICENSE | 11636 | 01 |
AL | PIC1547E | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710925227 | Countryside Hospice Care Inc | Hospice Care, Community Based | 3355 Highway 431, Suite 3, Roanoke, AL 36274-2723 | 2006-06-04 |
1790723211 | Countryside Hospice Care Inc | Hospice Care, Community Based | 320 Branscomb Dr Sw, Suite D, Jacksonville, AL 36265 | 2006-06-04 |
1639117690 | Countryside Hospice Care Inc | Hospice Care, Community Based | 820 Ebenezer Church Rd, Suite 106, Sharpsburg, GA 30277-2073 | 2006-06-03 |
1619914082 | Countryside Hospice Care Inc | Hospice Care, Community Based | 13521 Shelby County 280, Suite 253, Birmingham, AL 35242 | 2006-06-02 |
1265470249 | Countryside Hospice Care Inc | Hospice Care, Community Based | 106 Pearl Dr, Suite 107, La Fayette, GA 30728-7509 | 2006-06-03 |
Street Address |
955 S THREE NOTCH ST |
City | ANDALUSIA |
State | AL |
Zip Code | 36420-5231 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487184289 | Amber Bryant Seay | Pharmacist | 1991 Mlk Expressway, Andalusia, AL 36420 | 2017-06-14 |
1780114587 | Jenifer Harper Stanford | Pharmacist | 1991 M.l. King Jr. Expressway, Andalusia, AL 36420 | 2017-06-14 |
1306379797 | Therapy South Andalusia LLC | Physical Therapist | 811 B West Bypass, Andalusia, AL 36420 | 2017-04-04 |
1205207685 | Christina Mullen | Hearing Instrument Specialist | 504b East Three Notch St, Andalusia, AL 36420 | 2015-10-12 |
1831526029 | Jana M. Mallder | Nurse Practitioner | 508 E Three Notch St # 100, Andalusia, AL 36420 | 2013-10-02 |
1902153232 | Alabama Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 1204 Dr Mlk Expressway, Audalusia, AL 36420 | 2012-08-06 |
1457644320 | Christian Sanders Bentley | Pharmacist | 1017 River Falls Street, Andalusia, AL 36420 | 2011-05-25 |
1306152624 | James L Barton LLC | Optometrist | 500 Westgate Plaza, Andalusia, AL 36420 | 2010-08-24 |
1538337035 | Olive Tree Healthcare PC | Internal Medicine | 301 Medical Avenue, Suite B, Andalusia, AL 36420 | 2008-02-19 |
1528255601 | Vyas & Vyas PC (change) | Internal Medicine | 1212 East Three Notch Street, Andalusia, AL 36420 | 2007-10-02 |
Find all providers in zip 36420 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578704094 | First Choice Hospice, Inc | Hospice Care, Community Based | 1015 South Threenotch Street, Andalusia, AL 36420-0476 | 2009-03-12 |
1861675027 | New Beacon Healthcare Group, LLC | Hospice Care, Community Based | 513 E Three Notch St Ste D, Andalusia, AL 36420-3164 | 2007-12-11 |
1649235706 | Comfort Care Hospice, LLC | Hospice Care, Community Based | 1805 3 East Three Notch Street, Andalusia, AL 36421-2403 | 2006-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093340119 | Five Points Healthcare of Alabama, LLC | Hospice Care, Community Based | 100 Concourse Pkwy Ste 320, Hoover, AL 35244-1857 | 2020-03-09 |
1235789900 | Affinity Acquisitions Georgia LLC | Hospice Care, Community Based | 135 Gemini Cir Ste 202, Birmingham, AL 35209-5842 | 2019-09-16 |
1609337229 | Encompass Health Hospice of Alabama, LLC | Hospice Care, Community Based | 2400 John Hawkins Pkwy Ste 104b, Hoover, AL 35244-3500 | 2019-03-27 |
1124596267 | Encompass Health Hospice of Talladega, LLC | Hospice Care, Community Based | 650 Stone Avenue, Talladega, AL 35160-2217 | 2018-11-07 |
1801389150 | Healing Hearts II Hhc | Hospice Care, Community Based | 2420 Morgan Rd, Bessemer, AL 35022-5017 | 2018-06-12 |
1053856591 | Camellia Hospice of South Alabama, LLC | Hospice Care, Community Based | 1807 Station Dr Ste B, Prattville, AL 36066 | 2016-12-19 |
1134663537 | Compassus Op of Alabama LLC | Hospice Care, Community Based | 1400 Urban Center Dr Ste 100, Vestavia, AL 35242 | 2016-12-05 |
1104271857 | Prohealth Hospice-gadsden, LLC | Hospice Care, Community Based | 1115b Rainbow Drive, Gadsden, AL 35901 | 2016-05-02 |
1831556372 | Lhcg Lxxix, LLC | Hospice Care, Community Based | 111 E Laurel St, Scottsboro, AL 35768-1801 | 2016-01-27 |
1205209509 | Comfort Care Coastal Hospice, LLC | Hospice Care, Community Based | 22502 U.S. Highway 98, Fairhope, AL 36532 | 2015-11-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.