ASERACARE HOSPICE - DEMOPOLIS, LLC; NPI #1578506564

Contact Information

ASERACARE HOSPICE - DEMOPOLIS, LLC

482 MCQUEEN SMITH RD S
PRATTVILLE, AL 36066-5631

Phone: 334-872-1104
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for ASERACARE HOSPICE - DEMOPOLIS, LLC

NPI Number 1578506564

LBN Legal business name ASERACARE HOSPICE - DEMOPOLIS, LLC

Authorized official PAUL KUSSEROW - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/14/2006

Last updated 07/06/2020 - About 6 years ago

Identifiers

AL	License #	200904081002
AL	Medicaid	PIC-1561E
	Other	012-497	BCBS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ASERACARE HOSPICE - DEMOPOLIS, LLC

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for ASERACARE HOSPICE - DEMOPOLIS, LLC

Reviews for ASERACARE HOSPICE - DEMOPOLIS, LLC