WIREGRASS HOSPICE, LLC (NPI# 1720081409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720081409 |
| Entity Type | Organization |
| Organization Name | WIREGRASS HOSPICE, LLC |
| Other Organization Name | KINDRED HOSPICE |
| Practice Address |
750 E Spring St Suite B Cookeville TN 38501-4527 |
| Mailing Address |
655 Brawley School Rd Ste 200 Mooresville NC 28117-9601 |
| Practice Telephone | 9315285133 |
| Practice Fax Number | 9313720249 |
| Mailing Telephone | 7046642876 |
| Mailing Fax Number | 7046641306 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2018-11-21 |
| Authorized Official Name | MS. JESSICA KLEBERG (SVP OF LEGAL AND COMPLIANCE) |
| Authorized Official Telephone | 7046642876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 441520 | 05 | |
| TN | Q019266 | 05 | |
| TN | 0441520 | 05 | |
| FEDERAL BLACK LUNG PROG | 292638 | 01 | |
| BLUECROSSBLUESHIELD | 0133059 | 01 |
| Other Name | Type Code |
|---|---|
| Kindred Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184897092 | Wiregrass Hospice, LLC | Hospice Care, Community Based | 2000b Southbridge Parkway, Suite 150, Birmingham, AL 35209-7709 | 2008-04-11 |
| 1568635472 | Wiregrass Hospice, LLC | Hospice Care, Community Based | 5000 Bradford Dr Nw Ste 3a, Huntsville, AL 35805-1937 | 2008-04-11 |
| 1770519324 | Wiregrass Hospice, LLC | Hospice Care, Community Based | 2740 Headland Ave, Dothan, AL 36303-1236 | 2006-06-24 |
| 1063448645 | Wiregrass Hospice, LLC | Hospice Care, Community Based | 432 E Shotwell St, Bainbridge, GA 39819-4058 | 2006-06-24 |
| Street Address |
750 E SPRING ST SUITE B |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356890040 | Kristina Nicole Beene | Registered Nurse | 750 E Spring St, Suite D, Cookeville, TN 38501-4527 | 2016-09-23 |
| 1295107613 | Chiro2med of Tennessee | Internal Medicine | 750 E Spring St, Suite D, Cookeville, TN 38501-4527 | 2015-10-25 |
| 1295998797 | Shea Chiropractic PC | Chiropractor | 750 E Spring St, Suite D, Cookeville, TN 38501-4527 | 2008-07-03 |
| 1083701510 | Mitchell P Shea | Chiropractor | 750 E Spring St, Suite D, Cookeville, TN 38501-4527 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574011 | Upper Cumberland Hospice and Palliative Care, LLC | Hospice Care, Community Based | 155 E Spring St Ste A, Cookeville, TN 38501-3282 | 2019-05-24 |
| 1841526936 | Caris Healthcare, Lp | Hospice Care, Community Based | 2525 Highway 111 N Ste B, Cookeville, TN 38506-8824 | 2009-10-23 |
| 1003223462 | Life House Hospice, Inc | Hospice Care, Community Based | 570 State St, Cookeville, TN 38501-3718 | 2014-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184079 | Heart and Soul Hospice LLC | Hospice Care, Community Based | 402 Bna Corporate Dr., Suite 305, Nashville, TN 37217 | 2020-11-03 |
| 1558984096 | Good Shepherd Senior Services | Hospice Care, Community Based | Good Shepherd Senior Services, 1134 Murfreesboro Pike, Nashville, TN 37216 | 2020-05-19 |
| 1134766272 | Youth Changes Inc | Hospice Care, Community Based | 366 W Main St Ste 5c, Hendersonville, TN 37075-3314 | 2019-12-09 |
| 1043854235 | Goshen Hospice and Palliative Care | Hospice Care, Community Based | 7936 Players Forest Dr, Memphis, TN 38119-9171 | 2019-10-31 |
| 1659807865 | Lhcg Xcv, LLC | Hospice Care, Community Based | 8000 Centerview Pkwy Ste 401, Cordova, TN 38018-4127 | 2017-05-08 |
| 1902348279 | Caresouth Hha Holdings of Winchester, LLC | Hospice Care, Community Based | 828 Royal Parkway, Suite 113, Nashville, TN 37214 | 2016-11-17 |
| 1366829319 | Crystal Clear Home Health Agency | Hospice Care, Community Based | 6739 Hare Hill Dr, Arlington, TN 38002-4846 | 2015-04-29 |
| 1740685981 | Knoxville Home Care Services LLC | Hospice Care, Community Based | 1225 E Weisgarber Rd Ste 380s, Knoxville, TN 37909-2604 | 2014-10-30 |
| 1760763510 | Hospice Advantage, LLC. | Hospice Care, Community Based | 5796 Shelby Oaks Dr, Suite 6, Memphis, TN 38134 | 2011-09-07 |
| 1659603330 | Quality Personal Care, Inc. | Hospice Care, Community Based | 2284 Raleigh Ct, Suite B, Clarksville, TN 37043-1945 | 2010-02-05 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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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.