Organization Active NPI

Mothers Love Hospice LLC

  • Community Based Hospice Care Agency
  • Acworth, GA
National Provider Identifier
1053807693
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Nov 18, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
Enrollment address
3660 Cedarcrest Rd
Ste 120
Acworth, GA 30101-8928

Care Compare: Hospice

Medicare Care Compare
Listed as
Trinity Hospice Care of GaCCN 851511
Ownership
For-Profit
Certified
Jul 17, 2019
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member 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.

NameRoleSinceShare
Stephen Molineaux Individual 5% Or Greater Direct Ownership InterestChief Executive Officer Sep 1, 2020 20%
Corporate Officer Sep 1, 2020
Corporate Director Sep 1, 2020
W-2 Managing Employee Sep 1, 2020
Frank Rosenbaum Individual 5% Or Greater Direct Ownership Interest Oct 15, 2019 60%
Joseph a Falsetta Individual 5% Or Greater Direct Ownership InterestChief Nursing Officer 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.

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

Verify at the official NPI Registry.