Provider Demographics
NPI:1932534120
Name:HOSPICE ALPHA INC
Entity type:Organization
Organization Name:HOSPICE ALPHA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:NKOLI
Authorized Official - Last Name:MBONU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-344-4519
Mailing Address - Street 1:2131 MURFREESBORO PIKE
Mailing Address - Street 2:203A
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-3367
Mailing Address - Country:US
Mailing Address - Phone:713-344-4519
Mailing Address - Fax:
Practice Address - Street 1:2131 MURFREESBORO PIKE
Practice Address - Street 2:203A
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3367
Practice Address - Country:US
Practice Address - Phone:713-344-4519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-06
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient