| Organization Name: | ADVENTA HOSPICE, LLC |
| NPI Number: | 1053379214 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL KUSSEROW (PRESIDENT) |
| Mailing Address: | 1420 Dutch Valley Dr Suite C Knoxville |
| State: | TN US |
| Postal Code: | 379181424 |
| Phone Number: | 8656897123 |
| Fax Number: | 8656898445 |
| NPI Enumeration Date: | 05/03/2006 |
| NPI Last Update Date: | 03/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 344 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |