Active NPI
Mothers Love Hospice LLC
- Community Based Hospice Care Agency
- Acworth, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- MOTHERS LOVE HOSPICE LLC
- Practice address
- 3660 Cedarcrest Rd
St 120
Acworth, GA 30101-6174 - Phone
- (770) 599-2477
- NPI assigned
- Jul 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Gerard Molineaux
- Title
- Ceo
- Phone
- (770) 599-2477
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
3660 Cedarcrest Rd
St 120
Acworth, GA 30101-6174
Mailing address
3660 Cedarcrest Rd
St 120
Acworth, GA 30101-6174
Phone (770) 599-2477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190531002204 | GA | Part A Provider - Hospice | 1153654413 | Practice locations: Acworth, GA |
Hospice certification: CCN 851511
- Legal name
- MOTHER'S LOVE HOSPICE LLC
- Doing business as
- TRINITY HOSPICE CARE OF GA
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jul 17, 2019
- Last certification
- Jul 17, 2019
- Ownership / control type
- Proprietary - Partnership
- Organization structure
- LLC
- Enrollment address
- 3660 Cedarcrest Rd
Ste 120
Acworth, GA 30101-8928
Care Compare: Hospice
Medicare Care Compare- Listed as
- Trinity Hospice Care of Ga
- Ownership
- For-Profit
- Certified
- Jul 17, 2019
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
2346 Wisteria Dr
Ste 210
Snellville, GA 30078
Phone (770) 674-4414
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Stephen Molineaux | 5% Or Greater Direct Ownership Interest | Sep 1, 2020 | 20% |
| Corporate Officer | Sep 1, 2020 | ||
| Corporate Director | Sep 1, 2020 | ||
| W-2 Managing Employee | Sep 1, 2020 | ||
| Frank Rosenbaum | 5% Or Greater Direct Ownership Interest | Oct 15, 2019 | 60% |
| Joseph a Falsetta | 5% Or Greater Direct Ownership Interest | Sep 1, 2020 | 20% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Nurse Practitioner
- Acworth, GA
- NPI 1255033072
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1530835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605657600000",
"number": "1053807693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 CEDARCREST RD",
"address_2": "ST 120",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301016174",
"telephone_number": "770-599-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3660 CEDARCREST RD",
"address_2": "ST 120",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301016174",
"telephone_number": "770-599-2477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOTHERS LOVE HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-06",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A",
"authorized_official_last_name": "MOLINEAUX",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "GERARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-599-2477"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.