Regency Hospice of Georgia, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

008-191-H Issued in GA

Legal business name

REGENCY HOSPICE OF GEORGIA, LLC

Doing business as

Regency Hospice of Northeast Georgia

Practice address

4255 Wade Green Rd NW
Ste 210
Kennesaw, GA 30144-1762

Phone

(770) 382-7175

Fax

(770) 382-4927

NPI assigned

May 4, 2006

Last updated

May 16, 2016By 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

Jessica Kleberg

Title

VP of Legal Affairs

Phone

(704) 664-2876

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Regency Hospice of Northeast Georgia Doing business as

Member of 1

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

• Curo Health Services, LLC

  dba Heartland

  • Community Based Hospice Care Agency
  • Fairfax, VA
  • NPI 1447959762

  Member Of

  NPD member

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1073561130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 BRAWLEY SCHOOL RD",
            "address_2": "SUITE 200",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179125",
            "telephone_number": "704-664-2876",
            "fax_number": "704-664-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 WADE GREEN RD NW",
            "address_2": "STE 210",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441762",
            "telephone_number": "770-382-7175",
            "fax_number": "770-382-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY HOSPICE OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "KLEBERG",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "VP OF LEGAL AFFAIRS",
        "authorized_official_telephone_number": "704-664-2876"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "008-191-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000457509A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Hospice of Northeast Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Blythe Reed, DPT
• Monica Shanell Reed, DPT
• Amy Owen Reeves, PA-C
• Andrea Lee Reeves, D.C.
• Refined Beginnings Counseling LLC
• Amy Leigh Reich, D.C.
• Bruce Edwin Reid, O.D.
• Kimberly Reid, RN
• Pamela Jaycille Reid
• Sean Michael Reilly, L.C.S.W.

• Community Based Hospice Care Agency in Kennesaw, GA
• Providers in Kennesaw, 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 May 16, 2016; 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.