Hospice Services of Ga, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

121-0453-H Issued in GA

Legal business name

HOSPICE SERVICES OF GA, LLC

Practice address

3744 Walton Way Ext Ste C
Augusta, GA 30907-0917

Phone

(706) 364-1933

Fax

(706) 364-1933

NPI assigned

Jun 28, 2018

Organization subpart

No

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

Authorized official

Name

Christopher David Rud

Title

Owner/Administrator

Phone

(706) 834-8196

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Hospice certification: CCN 851506

Legal name

HOSPICE SERVICES OF GA, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 21, 2019

Last certification

Feb 10, 2022

Ownership / control type

Proprietary - Partnership

Organization structure

LLCProprietary

Incorporated

Nov 15, 2017 in GA

Enrollment address

3744 Walton Way Ext
Ste C
Augusta, GA 30907-0917

Listed as

Hospice Services of Ga LLCCCN 851506

Ownership

For-Profit

Certified

Feb 21, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 5

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

Owners & managing parties with NPI records 1

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

• Christopher John Apostol, DO

  • Family Medicine Physician
  • Evans, GA
  • NPI 1750383626

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 3

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

• Christopher John Apostol, DO

  • Family Medicine Physician
  • Evans, GA
  • NPI 1750383626

  Hospice

  Care Compare affiliation
• Julie L. Dahl-Smith, DO

  • Family Medicine Physician
  • Augusta, GA
  • NPI 1457461030

  Hospice

  Care Compare affiliation
• Benjamin F Swanson, MD

  • Family Medicine Physician
  • Greenwood, SC
  • NPI 1528564135

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1013402353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3744 WALTON WAY EXT STE C",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309070917",
            "telephone_number": "706-364-1933",
            "fax_number": "706-364-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3744 WALTON WAY EXT STE C",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309070917",
            "telephone_number": "706-364-1933",
            "fax_number": "706-364-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE SERVICES OF GA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "RUD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "706-834-8196"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "121-0453-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003218799A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE HOSPICE LICENSE",
            "identifier": "121-0453-H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah E Horton, PT
• Sharon Nicole Horton, PT
• Hospice Care of America, Inc.
• Hospice Care of Georgia, LLC
• Hospice Care of Georgia, LLC
• Hospital Medicine Consulting, LLC
• Sarah Christina Hossack, DO
• Mohammad Monir Hossain, PTA
• Hossam E Fadel, MD, PC
• Chistopher Peter Houk, MD

• All providers in Augusta, GA
• Community Based Hospice Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.