Provider Demographics
NPI:1407992985
Name:ALLAY HOME AND HOSPICE, INC.
Entity type:Organization
Organization Name:ALLAY HOME AND HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-810-1079
Mailing Address - Street 1:325 N. CORPORATE DR.
Mailing Address - Street 2:SUITE 260
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53045
Mailing Address - Country:US
Mailing Address - Phone:262-787-2980
Mailing Address - Fax:262-787-2981
Practice Address - Street 1:325 N. CORPORATE DR.
Practice Address - Street 2:SUITE 260
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53045
Practice Address - Country:US
Practice Address - Phone:262-787-2980
Practice Address - Fax:262-787-2981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41538300Medicaid
WI527299Medicare Oscar/Certification
WI521583Medicare Oscar/Certification