Healthcare Provider Details

I. General information

NPI: 1366769697
Provider Name (Legal Business Name): HOSPICE ADVANTAGE EAMC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2010
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 SAMFORD VILLAGE CT STE B
AUBURN AL
36830-6392
US

IV. Provider business mailing address

10 CADILLAC DR STE 400
BRENTWOOD TN
37027-1001
US

V. Phone/Fax

Practice location:
  • Phone: 334-826-1899
  • Fax: 334-826-0756
Mailing address:
  • Phone: 417-841-4834
  • Fax: 866-955-8538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. RUSSELL G ADKINS
Title or Position: SVP GENERAL COUNSEL
Credential:
Phone: 615-926-0340