Healthcare Provider Details
I. General information
NPI: 1588114839
Provider Name (Legal Business Name): COMPASSUS OP OF ALABAMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/11/2016
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1900 INTERNATIONAL PARK DR STE 200
BIRMINGHAM AL
35243-4217
US
IV. Provider business mailing address
10 CADILLAC DR STE 400
BRENTWOOD TN
37027-1001
US
V. Phone/Fax
- Phone: 205-730-7980
- Fax: 205-968-4072
- Phone: 615-377-7022
- Fax: 615-373-4457
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 315D00000X |
| Taxonomy | Inpatient Hospice |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RUSSELL
ADKINS
Title or Position: SVP GENERAL COUNSEL
Credential:
Phone: 615-926-0340