BIG BEND HOSPICE, INC. (NPI# 1396746103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396746103 |
| Entity Type | Organization |
| Organization Name | BIG BEND HOSPICE, INC. |
| Practice Address |
1723 Mahan Center Blvd Tallahassee FL 32308-5428 |
| Practice Telephone | 8508785310 |
| Practice Fax Number | 8503091638 |
| Mailing Telephone | 8508785310 |
| Mailing Fax Number | 8503091638 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2013-08-21 |
| Authorized Official Name | CATHY ADKISON (PRESIDENT/CEO) |
| Authorized Official Telephone | 8508785310 |
| Authorized Official Credential | RN, BSN, CHPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 5002096 | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 087524400 | 05 | |
| FL | BLUE CROSS/BLUE SHIELD | U15 | 01 |
| FL | 087524401 | 05 |
| Street Address |
1723 MAHAN CENTER BLVD |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-5428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194951319 | Angela Lee Marky | Nurse Practitioner | 1723 Mahan Center Blvd, Big Bend Hospice, Tallahassee, FL 32308-5428 | 2009-06-02 |
| 1740425446 | Martha W Alexander | Registered Nurse | 1723 Mahan Center Blvd, Big Bend Hospice, Tallahassee, FL 32308-5428 | 2008-12-09 |
| 1376738476 | Marsha Marie Alishahi | Social Worker | 1723 Mahan Center Blvd, Tallahassee, FL 32308-5428 | 2007-09-11 |
| 1326166406 | Ronald Clinton Hartsfield | Internal Medicine | 1723 Mahan Center Blvd, Tallahassee, FL 32308-5428 | 2007-03-27 |
| 1821166273 | Nancy Victoria Chorba | Family Medicine | 1723 Mahan Center Blvd, Tallahassee, FL 32308-5428 | 2006-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356781793 | C | Hospice Care, Community Based | 1009 Concord Rd, Tallahassee, FL 32308-6217 | 2013-06-30 |
| 1558426056 | Covenant Hospice Inc | Hospice Care, Community Based | 1921 Capital Cir Ne, Tallahassee, FL 32308-4492 | 2006-12-26 |
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| 1437783453 | Onsite Dental Solutions | Hospice Care, Community Based | 11924 Forest Hill Blvd # 10b, Wellington, FL 33414-6256 | 2020-02-28 |
| 1831721786 | Tc Cares, LLC | Hospice Care, Community Based | 318 Irving Bend Dr, Groveland, FL 34736-8248 | 2020-02-09 |
| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
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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.