Citizen Healthcare, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

044-0367-H Issued in GA

Legal business name

CITIZEN HEALTHCARE, LLC

Doing business as

Citizen Hospice

Practice address

1861 Peeler Rd
Ste 200
Dunwoody, GA 30338-5714

Phone

(479) 366-6539

NPI assigned

Nov 18, 2011

Last updated

Nov 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Prakash Gopalakrishnan

Title

Administrator

Phone

(479) 366-6539

Specialties & licenses 1

Addresses

Other names 1

• Citizen Hospice Doing business as

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1023385093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 PEELER RD",
            "address_2": "STE 200",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385714",
            "telephone_number": "479-366-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 PEELER RD",
            "address_2": "STE 200",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385714",
            "telephone_number": "479-366-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZEN HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "GOPALAKRISHNAN",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "479-366-6539"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "044-0367-H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citizen Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jungwon Allison Choi, MD
• Peter Choi, PT, DPT
• Samantha Wen Hui Chong, OTR/L
• Woojae Chong, D.M.D.
• Ana-Sophia Chung
• Laycee Claes, LD, RD
• Jessica Clarke
• Clear Minds Family Center Georgia LLC
• CM Practice Group LLC
• Kristin Ann Coggin, LPC

• Community Based Hospice Care Agency in Dunwoody, GA
• Providers in Dunwoody, 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 Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.