NPIMap

Organization Active NPI

Christian Ministries Hospice, Inc

  • Community Based Hospice Care Agency
  • Riverdale, GA
National Provider Identifier
1073694683
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
031-224-H Issued in GA
Legal business name
CHRISTIAN MINISTRIES HOSPICE, INC
Doing business as
Christian Ministries Hospice of Riverdale
Practice address
125 Highway 138 SW
Riverdale, GA 30274-4007
Phone
(678) 833-3750
Fax
(678) 833-3755
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Mrs. Stephanie Odom Freeman, RN
Title
Ceo
Phone
(770) 227-9222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 031-224H GA
Community Based Hospice Care Agency 251G00000X 031-224-H GA Primary

Addresses

Primary practice location

125 Highway 138 SW
Riverdale, GA 30274-4007

Mailing address

121 W College St
Griffin, GA 30224
Phone (770) 227-9222

Other identifiers 2

IdentifierTypeStateIssuer
000802931BMedicaidGA
00802931BMedicaidGA

Other names 1

  • Christian Ministries Hospice of Riverdale Doing business as

National Provider Directory

National Provider Directory

Locations

121 W College St
Griffin, GA 30224
Phone (770) 227-9222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1073694683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W COLLEGE ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "30224",
            "telephone_number": "770-227-9222",
            "fax_number": "770-227-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HIGHWAY 138 SW",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744007",
            "telephone_number": "678-833-3750",
            "fax_number": "678-833-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN MINISTRIES HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ODOM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-227-9222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "031-224H",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "031-224-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000802931B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00802931B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Ministries Hospice of Riverdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.