NPI 1093496705 · live from the CMS NPI Registry
Hospice Advantage, LLC.
Family Medicine, Hospice and Palliative Medicine in Green Bay, WI. National Provider Identifier 1093496705, active.
NPI record
| NPI | 1093496705 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Hospice and Palliative Medicine 207QH0002X |
| Practice location | 2960 Allied St Ste 105, Green Bay, WI 54304 |
| Practice phone | 920-321-2004 |
| Mailing address | 10 Cadillac Dr Ste 400, Brentwood, TN 37027 |
| Enumerated | July 26, 2023 |
| Last updated | July 26, 2023 |
| Authorized official | Russell Adkins, Svp, Chief Legal Officer |
| Other names | Compassus - Green Bay |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
| Family Medicine, Hospice and Palliative Medicine primary | 207QH0002X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.