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	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	129-2HO	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548222441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HOSPICES OF AMERICA, LLC

Provider Business Mailing Address
First Line	:	10 CADILLAC DR STE 400
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-1001
Country	:	US
Telephone Number	:	615-425-5407
Fax Number	:	615-373-4457

Provider Business Practice Location Address
First Line	:	3044 SHEPHERD OF THE HILLS EXPRESSWAY
Second Line	:	SUITE 200
City	:	BRANSON
State	:	MO
Zip	:	65616-7101
Country	:	US
Telephone Number	:	417-335-2004
Fax Number	:	417-335-2012

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

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	06/09/2020

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Directions to “COMMUNITY HOSPICES OF AMERICA, LLC ” Practice Location

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