=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437975380
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALLEGIANT HOSPICE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/25/2024
-----------------------------------------------------
Last Update Date | 08/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2448 S 102ND STREET SUITE 270
-----------------------------------------------------
City | MILWAUKEE
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53227-2147
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 414-392-5200
-----------------------------------------------------
Fax | 414-398-1275
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2448 S 102ND STREET SUITE 270
-----------------------------------------------------
City | MILWAUKEE
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53227-2147
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 414-392-5200
-----------------------------------------------------
Fax | 414-398-1275
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ARI STAWIS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 414-392-5200
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------