ALTERNATIVE HOSPICE LLC — NPI 1477977700 (Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) in FENTON, MO)

CMS-1500 Box 24J / 33a • NPI

1477977700

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2084H0002X (CMS 17)

Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)

Box 32 Service Location & ZIP+4

1749 GILSINN LN, FENTON, MO, 63026-2008

✓ 9-Digit EDI 837 ZIP+4 (63026-2008)

Practice Phone & Referral Fax

(636) 343-3839

Fax: (636) 343-6367

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1477977700 (ALTERNATIVE HOSPICE LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1477977700` (NPI-2 Organization / Facility)
Provider / Legal Name	ALTERNATIVE HOSPICE LLC
Plain-English Specialty	Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) NUCC Code: `2084H0002X` (Psychiatry & Neurology, Hospice and Palliative Medicine)
Certifying / Licensing Body	American Board of Psychiatry and Neurology (ABPN)
Practice Location Address	1749 GILSINN LN, FENTON, MO, 63026-2008
Practice Telephone / Fax	Tel: (636) 343-3839 \| Fax: (636) 343-6367
Administrative Mailing Address	1749 GILSINN LN, FENTON, MO, 63026-2008
Enumeration & Last Sync	Enumerated: 2014-02-06 \| CMS Record Updated: 2014-02-06
Authorized Official	GREG SPENCE (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1749 GILSINN LN, FENTON, MO, 63026-2008

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Plain-English Taxonomy & CMS Crosswalk (2084H0002X)

What Does Taxonomy Code 2084H0002X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2084H0002X translates to:
"Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 17 (Physician/Hospice and Palliative Care) • CMS Code 86 (Physician/Neuropsychiatry)
Certifying / Accrediting Authority: American Board of Psychiatry and Neurology (ABPN)
Clinical Scope: Stroke recovery, chronic or severe migraines, seizures, numbness/tingling in hands or feet (neuropathy), tremors, memory loss, or suspected CSF leak.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALTERNATIVE HOSPICE LLC)

Typical CPT / Diagnostic Procedures:

Electroencephalography (EEG — CPT 95816) for Seizure & Epilepsy Evaluation
Electromyography (EMG) & Nerve Conduction Studies (NCS)
Lumbar Puncture & Cerebrospinal Fluid (CSF) Pressure/Analysis
Acute Ischemic Stroke NIHSS Assessment & Neuroimaging Review

Common Therapeutic Classes:

CGRP Antagonists & Triptans (Sumatriptan, Rizatriptan) for Migraine
Antiepileptic Drugs (Levetiracetam, Lamotrigine, Valproate)
Levodopa/Carbidopa (Parkinson's Disease) & Gabapentin/Pregabalin (Neuropathy)
Antiplatelet & Secondary Stroke Prevention Regimens

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363L00000X` — Nurse Practitioner Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner	State: MO \| License: `142859` \| Primary: Secondary
`2084H0002X` — Psychiatry & Neurology, Hospice and Palliative Medicine Plain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)	State: MO \| License: `MO2001016352` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ALTERNATIVE HOSPICE LLC (NPI #1477977700)