Hospice of the Golden Isles, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HOSPICE OF THE GOLDEN ISLES, INC.

Practice address

1692 Glynco Pkwy
Brunswick, GA 31525-6845

Phone

(912) 265-4735

Fax

(912) 265-6100

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Paula Di Landro, MS, LMHC

Title

Executive Director

Phone

(912) 265-4735

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Hospice certification: CCN 111505

Legal name

HOSPICE OF THE GOLDEN ISLES, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 26, 1984

Last certification

Apr 7, 2021

Ownership / control type

Non-Profit - Private

Organization structure

CorporationNon-profit

Enrollment address

1692 Glynco Pkwy
Brunswick, GA 31525-6845

Listed as

Hospice of the Golden IslesCCN 111505

Ownership

Non-Profit

Certified

Mar 26, 1984

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Golden Isles Palliative Care, Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Brunswick, GA
  • NPI 1144774316

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 8

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.

• Scott C Clay, MD

  • Family Medicine Physician
  • Brunswick, GA
  • NPI 1003901117

  Contracted Managing Employee

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott C Clay, MD

  • Family Medicine Physician
  • Brunswick, GA
  • NPI 1003901117
  NPD (past)
• Ashley Danielle Head, FNP-C

  • Family Nurse Practitioner
  • Brunswick, GA
  • NPI 1033660261
  NPD (past)

Affiliated clinicians 3

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

• Abraham Cheong, M.D.

  • Hematology & Oncology Physician
  • Brunswick, GA
  • NPI 1285624882

  Hospice

  Care Compare affiliation
• Scott C Clay, MD

  • Family Medicine Physician
  • Brunswick, GA
  • NPI 1003901117

  Hospice

  Care Compare affiliation
• Michael P Raines, M.D

  • Family Medicine Physician
  • Americus, GA
  • NPI 1144215872

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1013943281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692 GLYNCO PKWY",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315256845",
            "telephone_number": "912-265-4735",
            "fax_number": "912-265-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 GLYNCO PKWY",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315256845",
            "telephone_number": "912-265-4735",
            "fax_number": "912-265-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF THE GOLDEN ISLES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "DI LANDRO",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "912-265-4735",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LMHC"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00371786A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bobby Dean Houlditch II
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• Teresa Howard
• Linda Jane Huffmyer, ATC
• Katina Catrice Hunter, WHNP

• Community Based Hospice Care Agency in Brunswick, GA
• Providers in Brunswick, GA by specialty
• 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 23, 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.