MEDICARE: COMMUNITY HOSPICE OF SOUTH ALABAMA, LLC

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

General Provider Information

NPI Number	:	1306894142
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HOSPICE OF SOUTH ALABAMA, LLC

Provider Business Mailing Address
First Line	:	187 N CHURCH ST STE 201
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29306-5154
Country	:	US
Telephone Number	:	800-932-2738
Fax Number	:

Provider Business Practice Location Address
First Line	:	1450 NORTH MCKENZIE STREET
Second Line	:
City	:	FOLEY
State	:	AL
Zip	:	36535-2234
Country	:	US
Telephone Number	:	251-943-5015
Fax Number	:	251-943-3986

Authorized Official
Title or Position	:	CHIEF COMPLIANCE OFFICER
Name	:	MRS. PAMELA DUNCAN OWENS
Credential	:
Telephone Number	:	800-932-2738

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	12/14/2025

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