HOSPICE ADVANTAGE, INC. (HOSPICE ADVANTAGE, LLC.) NPI 1134459084

Hospice Care, Community Based in Irondale, AL

NPI 1134459084 Organization Hospice Care, Community Based

About HOSPICE ADVANTAGE, INC. (HOSPICE ADVANTAGE, LLC.)

Hospice Advantage, Inc. (hospice Advantage, Llc.) is a provider established in Irondale, Alabama specializing in hospice care, community based. The NPI number of Hospice Advantage, Inc. (hospice Advantage, Llc.) is 1134459084 and was assigned on December 2009. The practitioner's primary taxonomy code is 251G00000X with license number E3722 (AL). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's former legal business name is Hospice Advantage, Inc.. The authorized official of this NPI record is Kayanne Mynsberge (Coo)

NPI

1134459084

Provider NameHOSPICE ADVANTAGE, INC. (HOSPICE ADVANTAGE, LLC.)
Provider Location Address2435 1ST AVENUE SOUTH IRONDALE, AL 35210
Provider Mailing Address401 CENTER AVE BAY CITY, MI 48708
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameHOSPICE ADVANTAGE, INC.
Other Name TypeFormer Legal Business Name (4)
Enumeration Date12-28-2009
Last Update Date01-16-2013


Primary Taxonomy

Taxonomy Code251G00000X
ClassificationHospice Care, Community Based
TypeAgencies
License No.E3722
License StateAL

Business Address

HOSPICE ADVANTAGE, INC.
2435 1ST AVENUE SOUTH
IRONDALE, AL
ZIP 35210
Phone: (205) 970-3888
Fax: (205) 970-6677

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Mailing Address

HOSPICE ADVANTAGE, INC.
401 CENTER AVE
BAY CITY, MI
ZIP 48708
Phone: (989) 891-2206
Fax: (989) 893-5268



Authorized Official

Authorized Official Name KAYANNE MYNSBERGE
Authorized Official TitleCOO
Authorized Official Phone(989) 891-2212

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
011630MEDICARE OSCAR/CERTIFICATION (06)AL

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.