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LIFE CHOICE HOSPICE OF GEORGIA III LLC NPI 1003167222


NPI Information

NPI: 1003167222
Provider Name: LIFE CHOICE HOSPICE OF GEORGIA III LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
1585 HIGHWAY 34 E
SUITE A
NEWNAN, GA
ZIP 30265
Phone: (770) 252-4999
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LIFE CHOICE HOSPICE OF GEORGIA III LLC is a hospice care community based in Newnan, GA. LIFE CHOICE HOSPICE OF GEORGIA III LLC NPI is 1003167222. The provider is registered as an organization entity type.

The provider's business location address is:

1585 HIGHWAY 34 E
SUITE A
NEWNAN, GA
ZIP 30265-401
Phone: (770) 252-4999
Fax: (770) 252-4743

The provider's authorized official is Anthony James .
The authorized official title is Cfo and has the following contact phone number (615) 425-5418.

The enumeration date for this NPI number is 9/27/2012 and was last updated on 2/26/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251G00000XHospice Care, Community BasedYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1111712MEDICARE OSCAR/CERTIFICATIONGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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