MEDICARE: COMMUNITY HOSPICES OF AMERICA LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician
2	363LF0000X	Family Nurse Practitioner
3	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1326598764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HOSPICES OF AMERICA LLC

Provider Business Mailing Address
First Line	:	10 CADILLAC DR
Second Line	:	SUITE 400
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-5078
Country	:	US
Telephone Number	:	417-841-4834
Fax Number	:

Provider Business Practice Location Address
First Line	:	3405 W TRUMAN BLVD STE 210
Second Line	:
City	:	JEFFERSON CITY
State	:	MO
Zip	:	65109-5861
Country	:	US
Telephone Number	:	573-606-8408
Fax Number	:	573-298-4685

Authorized Official
Title or Position	:	SVP GENERAL COUNSEL
Name	:	RUSSELL ADKINS
Credential	:
Telephone Number	:	615-309-5668

Provider Enumeration Date	:	10/10/2016
Last Update Date	:	02/22/2022

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Directions to “COMMUNITY HOSPICES OF AMERICA LLC ” Practice Location

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