Countryside Hospice Care Inc

LBN: Countryside Hospice Care Inc
Countryside Hospice Care Inc is an health care organization with primary practice located at 955 S Three Notch St , Andalusia AL 36420-5231. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Countryside Hospice Care Inc can be contacted via phone (334) 222-7048, or through Jakus, Nancy C via phone (256) 231-9190.

Contact Information

Primary practice address
955 S Three Notch St Andalusia AL 36420-5231
Phone: (334) 222-7048
Fax: (334) 427-7246
Website:
Map and Directions
Authorized official contact:
Name: Jakus, Nancy C BSN MBA RN
Phone: (256) 231-9190

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 11636 Alabama

Profile Details

NPI number 1275571259
LBN Legal business name Countryside Hospice Care Inc
DBA Doing business as
Authorized official Jakus, Nancy C BSN MBA RN
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 3rd, 2006
Last updated May 20th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275571259 NPPES
Alabama Other 11636 ALABAMA HOSPICE LICENSE
Alabama MEDICAID PIC1547E ALABAMA HOSPICE LICENSE

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