| Organization Name: | ADVENTA HOSPICE, LLC |
| NPI Number: | 1104884493 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL KUSSEROW (PRESIDENT) |
| Mailing Address: | 7205 Lee Hwy Suite B Chattanooga |
| State: | TN US |
| Postal Code: | 374216801 |
| Phone Number: | 4234990018 |
| Fax Number: | 4234994342 |
| 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: | 343 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |