HOMESTEAD HOSPICE OF CARTERSVILLE LLC NPI 1396074803

NPI Information

  • NPI: 1396074803
  • Provider Name: HOMESTEAD HOSPICE OF CARTERSVILLE, LLC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • Doing Business As: TRADITIONS HEALTH
  • CLIA Number: 11D2004024
  • Address: 100 MARKET PLACE BLVD STE 301
    CARTERSVILLE, GA
    ZIP 30121
  • Phone: (678) 290-4817

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NPI Details

HOMESTEAD HOSPICE OF CARTERSVILLE, LLC is a hospice care community based in Cartersville, GA. HOMESTEAD HOSPICE OF CARTERSVILLE, LLC NPI is 1396074803. The provider is registered as an organization entity type.
The provider Is Doing Business As Traditions Health.

The provider's business location address is:

100 MARKET PLACE BLVD STE 301
CARTERSVILLE, GA
ZIP 30121-717
Phone: (678) 290-4817
Fax: (678) 290-4821

The provider's authorized official is John Kerndl .
The authorized official title is Cfo & Secretary and has the following contact phone number (979) 704-6547.

The CLIA number assigned to this NPI record is 11D2004024 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2009 and was last updated on 6/28/2024.

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

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: 3/30/2025

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