Healthcare Provider Details

I. General information

NPI: 1184682858
Provider Name (Legal Business Name): ALIVE HOSPICE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 03/28/2023
Certification Date: 03/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1718 PATTERSON ST
NASHVILLE TN
37203-2926
US

IV. Provider business mailing address

1718 PATTERSON ST
NASHVILLE TN
37203-2926
US

V. Phone/Fax

Practice location:
  • Phone: 615-327-1085
  • Fax: 615-320-1948
Mailing address:
  • Phone: 615-327-1085
  • Fax: 615-320-1948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number40370
License Number StateTN

VIII. Authorized Official

Name: KIMBERLY GOESSELE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 615-327-1085