NPIMap

Organization Active NPI

Ogeechee Area Hospice Inc.

  • Community Based Hospice Care Agency
  • Statesboro, GA
National Provider Identifier
1003813577
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
016057H Issued in GA
Legal business name
OGEECHEE AREA HOSPICE INC.
Practice address
200 Donehoo St
Statesboro, GA 30458
Phone
(912) 764-8441
Fax
(912) 489-8247
NPI assigned
Jun 30, 2005
Last updated
Aug 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Vanessa Ramirez, RN, MSN
Title
Executive Director
Phone
(912) 764-8441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 016057H GA Primary

Addresses

Primary practice location

200 Donehoo St
Statesboro, GA 30458

Mailing address

200 Donehoo St
Statesboro, GA 30458
Phone (912) 764-8441

Other identifiers 1

IdentifierTypeStateIssuer
000614732AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080915000326 GA Part A Provider - Hospice 8022184100 Practice locations: Statesboro, GA
O20201112002543 GA Part B Supplier - Clinic/Group Practice 8022184100 Receives reassigned benefits from 3 practitioners
Practice locations: Statesboro, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003813577. Details of each certification follow.

Hospice certification: CCN 111535

Legal name
OGEECHEE AREA HOSPICE INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 18, 1994
Last certification
Jul 28, 2021
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Nov 1, 1997 in GA
Enrollment address
200 Donehoo St
Statesboro, GA 30458-5169

Care Compare: Hospice

Medicare Care Compare
Listed as
Ogeechee Area Hospice, Inc.CCN 111535 · All quality measures
Ownership
For-Profit
Certified
May 18, 1994
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1039314Ogeechee Area Hospice200 Donehoo Street, Statesboro, GA 30458Certificate of waiverApr 10, 2027

National Provider Directory

National Provider Directory

Locations

200 Donehoo St
Statesboro, GA 30458
Phone (912) 764-8441

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Vanessa Ramirez Individual Corporate DirectorExecutive Director/Administrator Jul 20, 2025
W-2 Managing EmployeeAd; Jul 20, 2025 100%
Jason Boyd Hollis Individual Contracted Managing EmployeeMD; Jul 20, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 11

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1003813577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DONEHOO ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30458",
            "telephone_number": "912-764-8441",
            "fax_number": "912-489-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DONEHOO ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30458",
            "telephone_number": "912-764-8441",
            "fax_number": "912-489-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGEECHEE AREA HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "912-764-8441",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "016057H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000614732A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.