Healthcare Provider Details

I. General information

NPI: 1871043216
Provider Name (Legal Business Name): COMMUNITY HOSPICES OF AMERICA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2016
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1341 W BATTLEFIELD ST STE 110
SPRINGFIELD MO
65807-6138
US

IV. Provider business mailing address

10 CADILLAC DR SUITE 400
BRENTWOOD TN
37027-5078
US

V. Phone/Fax

Practice location:
  • Phone: 417-882-0453
  • Fax: 417-882-1245
Mailing address:
  • Phone: 417-841-4834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

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