Organization
ASERACARE HOSPICE - TENNESSEE, LLC
Active
Other names
PRIME by AseraCare
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL KUSSEROW (PRESIDENT)
(225) 292-2031
Entity
Organization
Contact information
Practice address
1539 ASHLAND CITY RD STE C, CLARKSVILLE, TN 37040-6416
(931) 551-4100
Mailing address
3854 AMERICAN WAY STE A, BATON ROUGE, LA 70816-4897
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084H0002X
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
—
—
2086H0002X
Hospice and Palliative Medicine (Surgery) Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/14/2014
Last updated
07/06/2020
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