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SOUTHEAST HOSPICE NETWORK, LLC
NPI 1194882969
Hospice Care, Community Based in Jasper, AL

Active since January 02, 2007CLIA 01D1071957 · Waiver
4330 HIGHWAY 78 E, SUITE 120-121, JASPER, AL 35501(205) 387-2300 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeast Hospice Network, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST HOSPICE NETWORK, LLC (NPI 1194882969) is a healthcare organization registered as a hospice care, community based in Jasper, Alabama and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 5, 2027 and lists Debora Wilson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1194882969
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameSOUTHEAST HOSPICE NETWORK, LLC
Location Address4330 HIGHWAY 78 E, SUITE 120-121Jasper, AL 35501-8905
Mailing Address1635 Mcfarland Blvd N Ste 503Tuscaloosa, AL 35406-2204 · (205) 366-9920
Phone(205) 387-2300
Organization SubpartYes
Authorized OfficialDebora WilsonExecutive Director · (205) 706-6809
Enumeration DateJanuary 2, 2007
Last NPPES UpdateMay 20, 2019
✔ NPI 1194882969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
4330 HIGHWAY 78 E, Jasper, AL 35501
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Other Identifiers 1

MedicaidPIC1663EAL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D1071957

Southeast Hospice Network · Jasper, AL
Active · expires Aug 5, 2027
CLIA Number01D1071957
Laboratory TypeHospice
Certificate Effective DateAugust 6, 2025
Certificate Expiration DateAugust 5, 2027
Laboratory DirectorSteve Johnson
Laboratory Phone(205) 544-6743
Laboratory LocationSoutheast Hospice Network453 19th Street W, Jasper, AL 35501
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATRINA CAROL WHITE DMD
Dentist (Pediatric Dentistry)
4330 HIGHWAY 78 E, SUITE 121
JASPER, AL 35501
Walker County (205) 384-9104
SOUTHERNCARE, INC
Hospice Care, Community Based
4330 HIGHWAY 78 E, SUITE 210 & 211
JASPER, AL 35501
Walker County (205) 387-0249
DR. CHARLES RANDLE DILLARD JR. DMD
Dentist (Endodontics)
4330 HIGHWAY 78 E, SUITE 200
JASPER, AL 35501
Walker County (202) 295-2992
MR. JEFFREY DALE BOYLES PT
Physical Therapist
4330 HIGHWAY 78 E, SUITE 208
JASPER, AL 35501
Walker County (205) 295-2434
JASPER MEDICAL SUPPLY, INC.
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
4330 HIGHWAY 78 E, SUITE 103
JASPER, AL 35501
Walker County (205) 295-0044
REBECCA BLACK
Speech-Language Pathologist
4330 HIGHWAY 78 E, SUITE 118
JASPER, AL 35501
Walker County (866) 537-5613
JASPER PEDIATRIC DENTISTRY, LLC
Dentist (Pediatric Dentistry)
4330 HIGHWAY 78 E, SUITE 121
JASPER, AL 35501
Walker County (205) 384-9104
LORY CARLISLE AVSAR DMD
Dentist (Periodontics)
4330 HIGHWAY 78 E, SUITE 122
JASPER, AL 35501
Walker County (205) 221-1341

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Hospice Network, LLC's NPI number?

The NPI number for Southeast Hospice Network, LLC is 1194882969. It was assigned to this organization in the NPPES registry on January 2, 2007.

Where is Southeast Hospice Network, LLC located?

Southeast Hospice Network, LLC is located at 4330 Highway 78 E Suite 120-121, Jasper, AL 35501. The listed phone number is (205) 387-2300.

What is Southeast Hospice Network, LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Southeast Hospice Network, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D1071957) is associated with this NPI, valid through August 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southeast Hospice Network, LLC was last updated on May 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.