Organization Active NPI

Flint River Hospice, Inc

  • Community Based Hospice Care Agency
  • Bainbridge, GA
National Provider Identifier
1053422535
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
096-235-H Issued in GA
Legal business name
FLINT RIVER HOSPICE, INC
Practice address
402 N West St
Bainbridge, GA 39817-3678
Phone
(229) 248-1050
Fax
(229) 248-1070
NPI assigned
Aug 31, 2006
Last updated
Oct 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Kevin Miller
Title
Chief Financial Officer
Phone
(229) 248-1050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 096-235-H GA Primary

Addresses

Primary practice location

402 N West St
Bainbridge, GA 39817-3678

Mailing address

402 N West St
Bainbridge, GA 39817-3678
Phone (229) 248-1050

Other identifiers 1

IdentifierTypeStateIssuer
821692805AMedicaidGA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

402 N West St
Bainbridge, GA 39817
Phone (229) 248-1050

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1053422535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N WEST ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398173678",
            "telephone_number": "229-248-1050",
            "fax_number": "229-248-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N WEST ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398173678",
            "telephone_number": "229-248-1050",
            "fax_number": "229-248-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT RIVER HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "229-248-1050"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "096-235-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "821692805A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.