| Organization Name: | HOSPICE ADVANTAGE, LLC |
| NPI Number: | 1669711032 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RODNEY HILDEBRANT (PRESIDENT) |
| Mailing Address: | 2258 Schuetz Rd Suite 116 & 118 Saint Louis |
| State: | MO US |
| Postal Code: | 631463423 |
| Phone Number: | 3147314700 |
| Fax Number: | 9898935268 |
| NPI Enumeration Date: | 02/05/2013 |
| NPI Last Update Date: | 03/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 198-HO |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |