Organization Active NPI

Agape Hospice Care of Cherokee County, LLC

Doing business as Agape Hospice Care

  • Community Based Hospice Care Agency
  • Woodstock, GA
National Provider Identifier
1043708803
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AGAPE HOSPICE CARE OF CHEROKEE COUNTY, LLC
Doing business as
Agape Hospice Care
Practice address
100 Londonderry CT Ste 120
Woodstock, GA 30188-7353
Phone
(404) 443-0678
Fax
(866) 682-6164
NPI assigned
Apr 27, 2018
Last updated
Feb 13, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SAGE HOSPICE HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Andrea Bohannon
Title
President & Ceo
Phone
(214) 628-9951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

100 Londonderry CT Ste 120
Woodstock, GA 30188-7353

Mailing address

717 N Harwood St Ste 550
Dallas, TX 75201-6540
Phone (214) 628-9951

Other names 1

  • Agape Hospice Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180625002881 GA Part A Provider - Hospice 3678828167 Practice locations: Woodstock, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043708803. Details of each certification follow.

Hospice certification: CCN 851517

Legal name
AGAPE HOSPICE CARE OF CHEROKEE COUNTY LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 5, 2019
Last certification
Nov 7, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
100 Londonderry CT
Ste 120
Woodstock, GA 30188-7353

Care Compare: Hospice

Medicare Care Compare
Listed as
Agape Hospice Care of Cherokee County, LLCCCN 851517 · All quality measures
Ownership
For-Profit
Certified
Dec 5, 2019
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
11D2164228Agape Hospice Care of Cherokee County, LLC100 Londonderry CT, Ste 120, Woodstock, GA 30188Certificate of waiverMar 31, 2027

National Provider Directory

National Provider Directory

Locations

100 Londonderry Ct
Ste 120
Woodstock, GA 30188
Phone (404) 443-0678

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Jeffrey Desalvo Individual Contracted Managing EmployeeMD;Hospice Medical Director Oct 10, 2023
Edwin Johnston Cox Individual W-2 Managing EmployeeExecutive Director Sep 1, 2020
David C Gasmire Individual Corporate DirectorBoard of Directors, Member Jun 5, 2025
Cypress Purchaser, LLC Organization, Washington, DC Holding company 5% Or Greater Indirect Ownership Interest Jun 5, 2025 100%
Martis Partners IV Three Oaks Co-Invest, LP Organization, Washington, DC Private equity company 5% Or Greater Indirect Ownership Interest Jun 5, 2025 11.8%
Cypress Midco, Inc. Organization, Coconut Grove, FL Corporation 5% Or Greater Indirect Ownership Interest Jun 5, 2025 100%
Andrew R Calkins Individual Corporate DirectorBoard of Dir Member Jun 5, 2025
Operational/Managerial ControlChief Executive Officer Jan 1, 2022
Jill Zinney Individual W-2 Managing EmployeeAd;Hospice Administrator Jan 1, 2023
Three Oaks Hospice, Inc. Organization, Dallas, TX Corporation 5% Or Greater Indirect Ownership Interest Jun 5, 2025 100%
Operational/Managerial Control Jun 5, 2025 100%
Cypress Parent Holdings, LLC Organization, Washington, DC LLC, Holding company 5% Or Greater Indirect Ownership Interest Jun 5, 2025 100%
Owen Davis Individual Corporate DirectorBoard of Directors, Chairman Jun 5, 2025
Kelly a Priegnitz Individual Corporate DirectorBoard of Directors, Member Jun 5, 2025
Martis Partners IV Cypress Aggregator LP Organization, Washington, DC 5% Or Greater Indirect Ownership Interest Jun 5, 2025 85.7%
Scott Johnson Individual Corporate OfficerVP Sep 1, 2020
Phillip Campbell Individual Corporate DirectorBoard of Directors, Member Jun 5, 2025
Jeffrey S Goodman Individual Corporate OfficerVP Sep 1, 2020
Martis Partners IV, LP Organization, Washington, DC 5% Or Greater Indirect Ownership Interest Jun 5, 2025 8.5%
Lisa M Pekar Individual W-2 Managing EmployeeDirector of Licensure Jun 5, 2025
Sage Hospice Holdings, L.L.C. Organization, Dallas, TX LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Sep 1, 2020 100%
Andrea F Bohannon Individual Corporate OfficerPresident, Ceo, Asst Secretary Jun 5, 2025
Corporate DirectorBoard of Directors, Member Jun 5, 2025
Ross J Taylor Individual Corporate OfficerSecretary Jun 5, 2025
Sage Hospice Intermediate Holdings, Inc. Organization, Dallas, TX Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2020 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 22

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 22

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1043708803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 N HARWOOD ST STE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752016540",
            "telephone_number": "214-628-9951",
            "fax_number": "214-389-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LONDONDERRY CT STE 120",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301887353",
            "telephone_number": "404-443-0678",
            "fax_number": "866-682-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE HOSPICE CARE OF CHEROKEE COUNTY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAGE HOSPICE HOLDINGS, LLC",
        "enumeration_date": "2018-04-27",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "BOHANNON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "214-628-9951"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.