Provider Demographics
NPI:1174744551
Name:HOSPICE COMPLETE, INC
Entity type:Organization
Organization Name:HOSPICE COMPLETE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:205-228-0600
Mailing Address - Street 1:318 SNOW ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:OXFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36203-1299
Mailing Address - Country:US
Mailing Address - Phone:256-403-6800
Mailing Address - Fax:
Practice Address - Street 1:318 SNOW ST
Practice Address - Street 2:SUITE C
Practice Address - City:OXFORD
Practice Address - State:AL
Practice Address - Zip Code:36203-1299
Practice Address - Country:US
Practice Address - Phone:256-831-2031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALE0807251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL104643Medicaid
ALE0807OtherSTATE LICENSE
ALE0807OtherSTATE LICENSE