MEDICARE: AMERICAN HOMECARE HOSPICE 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		AL

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	012-480	OTHER	AL	BCBS

General Provider Information

NPI Number	:	1992709943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HOMECARE HOSPICE INC

Provider Business Mailing Address
First Line	:	3235 OLD SYLACAUGA HWY
Second Line	:
City	:	SYLACAUGA
State	:	AL
Zip	:	35150-7831
Country	:	US
Telephone Number	:	256-245-9212
Fax Number	:	256-245-9213

Provider Business Practice Location Address
First Line	:	3235 OLD SYLACAUGA HWY
Second Line	:
City	:	SYLACAUGA
State	:	AL
Zip	:	35150-7831
Country	:	US
Telephone Number	:	256-245-9212
Fax Number	:	256-245-9213

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. JUDY MILAM BEARDEN
Credential	:	RN-BSN
Telephone Number	:	256-378-9115

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	08/22/2020

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Directions to “AMERICAN HOMECARE HOSPICE INC ” Practice Location

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