MEDICARE: HOSPICE ALLIANCE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	1502	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053314252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE ALLIANCE, INC.

Provider Business Mailing Address
First Line	:	10220 PRAIRIE RIDGE BLVD
Second Line	:
City	:	PLEASANT PRAIRIE
State	:	WI
Zip	:	53158-1946
Country	:	US
Telephone Number	:	262-652-4400
Fax Number	:	262-925-1361

Provider Business Practice Location Address
First Line	:	10220 PRAIRIE RIDGE BLVD
Second Line	:
City	:	PLEASANT PRAIRIE
State	:	WI
Zip	:	53158-1946
Country	:	US
Telephone Number	:	262-652-4400
Fax Number	:	262-925-1361

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE
Name	:	CRISTINA PUTRA
Credential	:
Telephone Number	:	262-652-4482

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	05/02/2025

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Directions to “HOSPICE ALLIANCE, INC. ” Practice Location

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