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NPI Code Detail

MEDICARE: ADVENTA HOSPICE LLC

MEDICARE: ADVENTA HOSPICE 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
1251G00000XCommunity Based Hospice Care Agency326TN

Other Identifiers

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

General Provider Information

NPI Number : 1942685565
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVENTA HOSPICE LLC
Provider Business Mailing Address
First Line : 3854 AMERICAN WAY
Second Line : SUITE A
City : BATON ROUGE
State : LA
Zip : 70816-4013
Country : US
Telephone Number : 225-292-2031
Fax Number : 225-295-9678
Provider Business Practice Location Address
First Line : 400 ROYAL PKWY
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-3636
Country : US
Telephone Number : 615-231-7113
Fax Number : 615-886-7296
Authorized Official
Title or Position : PRESIDENT
Name : PAUL KUSSEROW
Credential :
Telephone Number : 225-292-2031
Provider Enumeration Date : 07/24/2015
Last Update Date : 01/31/2017

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