MEDICARE: HOSPICE FAMILY CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	11171	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	010-674	OTHER	AL	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023094042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE FAMILY CARE

Provider Business Mailing Address
First Line	:	3304 WESTMILL DR SW
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35805-6132
Country	:	US
Telephone Number	:	256-650-1212
Fax Number	:	256-880-2929

Provider Business Practice Location Address
First Line	:	10000 SERENITY LANE SE
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35803
Country	:	US
Telephone Number	:	256-650-1212
Fax Number	:	256-880-2929

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. KRISTINA JOHNSON
Credential	:
Telephone Number	:	256-650-1212

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	07/21/2022

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Directions to “HOSPICE FAMILY CARE ” Practice Location

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