MEDICARE: HOPE HOSPICE, LLC

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	10231	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	012-433	OTHER	AL	BLUECROSS BLUESHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649279050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE HOSPICE, LLC

Provider Business Mailing Address
First Line	:	187 N CHURCH ST STE 201
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29306-5154
Country	:	US
Telephone Number	:	800-932-2738
Fax Number	:	888-847-9306

Provider Business Practice Location Address
First Line	:	651 MAIN ST STE 159
Second Line	:
City	:	GARDENDALE
State	:	AL
Zip	:	35071-2793
Country	:	US
Telephone Number	:	205-583-4673
Fax Number	:	205-316-2833

Authorized Official
Title or Position	:	CCO
Name	:	PAMELA DUNCAN
Credential	:
Telephone Number	:	800-932-2738

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	11/01/2023

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Directions to “HOPE HOSPICE, LLC ” Practice Location

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