Healthcare Provider Details

I. General information

NPI: 1992742431
Provider Name (Legal Business Name): ASERACARE HOSPICE - MONROEVILLE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 N WATER ST STE 11225
MOBILE AL
36602-3809
US

IV. Provider business mailing address

3854 AMERICAN WAY STE A
BATON ROUGE LA
70816-4897
US

V. Phone/Fax

Practice location:
  • Phone: 251-343-0989
  • Fax: 251-343-0792
Mailing address:
  • Phone: 225-292-2031
  • Fax: 225-295-9678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number200812171016
License Number StateAL

VIII. Authorized Official

Name: SCOTT GINN
Title or Position: CFO
Credential:
Phone: 225-299-3726