MEDICARE: COMMUNITY HOSPICES OF AMERICA, INC.

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	12827	AL

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	:	1588766315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HOSPICES OF AMERICA, INC.

Provider Business Mailing Address
First Line	:	3500 BLUE LAKE DR
Second Line	:	SUITE 201
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-1907
Country	:	US
Telephone Number	:	205-970-8888
Fax Number	:	205-968-8199

Provider Business Practice Location Address
First Line	:	3500 BLUE LAKE DR
Second Line	:	SUITE 270
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-1907
Country	:	US
Telephone Number	:	205-970-3888
Fax Number	:	205-970-6677

Authorized Official
Title or Position	:	SENIOR VICE-PRESIDENT
Name	:	MR. JOHN B. HUNTER
Credential	:
Telephone Number	:	205-970-8888

Provider Enumeration Date	:	09/02/2006
Last Update Date	:	08/22/2020

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