Healthcare Provider Details

I. General information

NPI: 1932534120
Provider Name (Legal Business Name): HOSPICE ALPHA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2013
Last Update Date: 09/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2131 MURFREESBORO PIKE 203A
NASHVILLE TN
37217-3367
US

IV. Provider business mailing address

2131 MURFREESBORO PIKE 203A
NASHVILLE TN
37217-3367
US

V. Phone/Fax

Practice location:
  • Phone: 713-344-4519
  • Fax:
Mailing address:
  • Phone: 713-344-4519
  • 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: MRS. BEATRICE NKOLI MBONU
Title or Position: REGISTERED NURSE
Credential: RN
Phone: 713-344-4519