Healthcare Provider Details

I. General information

NPI: 1013954528
Provider Name (Legal Business Name): ASERACARE HOSPICE - BIRMINGHAM, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 CENTURY PARK S SUITE 112B
HOOVER AL
35226-3941
US

IV. Provider business mailing address

450 CENTURY PARK S SUITE 112B
HOOVER AL
35226-3941
US

V. Phone/Fax

Practice location:
  • Phone: 901-758-1450
  • Fax:
Mailing address:
  • Phone: 901-758-1450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State

VIII. Authorized Official

Name: HOLLY A JONES
Title or Position: SECRETARY
Credential:
Phone: 479-201-4840