EMBRACING HOSPICE CARE OF SOUTH ATLANTALLC NPI 1225047087

NPI Information

NPI: 1225047087
Provider Name: EMBRACING HOSPICE CARE OF SOUTH ATLANTA,LLC

Doing Business As: EMBRACING HOSICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
2340 PATRICK HENRY PKWY
STE 200
MCDONOUGH, GA
ZIP 30253
Phone: (678) 961-2170
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EMBRACING HOSPICE CARE OF SOUTH ATLANTA,LLC is a hospice care community based in Mcdonough, GA. EMBRACING HOSPICE CARE OF SOUTH ATLANTA,LLC NPI is 1225047087. The provider is registered as an organization entity type.
The provider Is Doing Business As Embracing Hosice.

The provider's business location address is:

2340 PATRICK HENRY PKWY
STE 200
MCDONOUGH, GA
ZIP 30253-325
Phone: (678) 961-2170
Fax: (678) 961-2161

The provider's authorized official is Rich Fogle .
The authorized official title is Cfo and has the following contact phone number (904) 493-6745.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 9/13/2012.

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
1	251G00000X	Hospice Care, Community Based		067161H	GEORGIA	Yes

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
1	00965258A	MEDICAID	GEORGIA
2	111600	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	GA MEDICARE

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

NPI Synchronization or Removal

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