WIREGRASS HOSPICE, LLC (NPI# 1770519324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770519324 |
| Entity Type | Organization |
| Organization Name | WIREGRASS HOSPICE, LLC |
| Other Organization Name | KINDRED HOSPICE |
| Practice Address |
2740 Headland Ave Dothan AL 36303-1236 |
| Mailing Address |
655 Brawley School Rd Ste 200 Mooresville NC 28117-9601 |
| Practice Telephone | 3347921100 |
| Mailing Telephone | 7046642876 |
| Mailing Fax Number | 7046641306 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2018-11-16 |
| Authorized Official Name | 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 |
|---|---|---|---|
| AL | PIC 1023E | 05 | |
| AL | PIC 1014E | 05 | |
| AL | PIC 1024E | 05 | |
| AL | PIC 1025E | 05 | |
| AL | PIC 1027E | 05 | |
| AL | PIC 1522E | 05 | |
| AL | PIC 1026E | 05 | |
| AL | PIC 1017E | 05 | |
| AL | PIC 1018E | 05 |
| 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 |
| 1063448645 | Wiregrass Hospice, LLC | Hospice Care, Community Based | 432 E Shotwell St, Bainbridge, GA 39819-4058 | 2006-06-24 |
| 1720081409 | Wiregrass Hospice, LLC | Hospice Care, Community Based | 750 E Spring St, Suite B, Cookeville, TN 38501-4527 | 2005-05-24 |
| Street Address |
2740 HEADLAND AVE |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922535400 | Mid-south Home Care Services, LLC | Internal Medicine | 2740 Headland Ave, Dothan, AL 36303-1236 | 2017-05-16 |
| 1346625894 | Jacquelyn Lyon Smith | Nurse Practitioner | 2740 Headland Ave, Dothan, AL 36303-1236 | 2015-07-27 |
| 1467489385 | Gentiva Certified Healthcare Corp. | Home Health | 2740 Headland Ave, Dothan, AL 36303-1236 | 2006-06-27 |
| 1174559710 | Mid-south Home Care Services, LLC | Durable Medical Equipment & Medical Supplies | 2740 Headland Ave, Dothan, AL 36303-1236 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
| 1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
| 1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
| 1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
| 1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
| 1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
| 1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
| 1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
| 1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
| 1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
| Find all providers in zip 36303 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255514410 | New Beacon Healthcare Group, LLC | Hospice Care, Community Based | 1888 Montgomery Hwy, Suite 3, Dothan, AL 36303-3230 | 2007-12-11 |
| 1427244110 | Hc Healthcare, LLC | Hospice Care, Community Based | 3245 Montgomery Hwy, Suite 8, Dothan, AL 36303-2172 | 2007-09-17 |
| 1245278860 | Southerncare, Inc. | Hospice Care, Community Based | 2576 Montgomery Highway, Suite 2, Dothan, AL 36303-2633 | 2006-06-04 |
| 1497707962 | Covenant Hospice, Inc | Hospice Care, Community Based | 1512 W Main St, Dothan, AL 36301-1314 | 2006-05-16 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.