NPI 1801136643 · live from the CMS NPI Registry
Hospice Advantage, LLC,
Hospice Care, Community Based in Green Bay, WI. National Provider Identifier 1801136643, active.
NPI record
| NPI | 1801136643 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| 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 | February 14, 2013 |
| Last updated | May 19, 2020 |
| Authorized official | Russell Adkins, Svp General Counsel |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | 2036 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.