Active NPI
In Home Health LLC
Doing business as ProMedica Hospice (Cartersville)
- Community Based Hospice Care Agency
- Cartersville, GA
National Provider Identifier
1083669220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 008-0262-H
- Legal business name
- IN HOME HEALTH LLC
- Doing business as
- ProMedica Hospice (Cartersville)
- Practice address
- 328 E Main St Ste 201
Cartersville, GA 30120-3278 - Phone
- (770) 382-0721
- Fax
- (770) 382-1263
- NPI assigned
- May 24, 2006
- 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
- Mr. Martin D Allen
- Title
- Director
- Phone
- (419) 252-5734
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 008-0262-H | GA | Primary |
| Inpatient Hospice | 315D00000X |
Addresses
Primary practice location
328 E Main St Ste 201
Cartersville, GA 30120-3278
Mailing address
333 N Summit St
Attn Dean Shipman
Toledo, OH 43604-2615
Phone (419) 254-7841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000898873A | Medicaid | GA |
Other names 1
- ProMedica Hospice (Cartersville)
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba ProMedica Skilled Nursing and Rehabilitation (Lely Palms)
- Skilled Nursing Facility
- Naples, FL
- NPI 1366499535
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642896000000",
"number": "1083669220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N SUMMIT ST",
"address_2": "ATTN DEAN SHIPMAN",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436042615",
"telephone_number": "419-254-7841",
"fax_number": "419-252-6448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 E MAIN ST STE 201",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301203278",
"telephone_number": "770-382-0721",
"fax_number": "770-382-1263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN HOME HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2022-01-23",
"certification_date": "2022-01-23",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "419-252-5734",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "GA",
"license": "008-0262-H",
"primary": true
},
{
"code": "315D00000X",
"taxonomy_group": "",
"desc": "Hospice, Inpatient",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000898873A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ProMedica Hospice (Cartersville)",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cartersville, GA
- Allen Robert Hutchins, DDS
- John Hwang, MD
- Stephanie Ann Hyson-Guevara, PA
- I Care Senior Care Home LLC
- Udunma Nduka Ikoro, MD
- In Home Health, LLC (ProMedica Hospice (Cartersville))
- Independent Physical Therapy of Ga, LLC
- Independent Physical Therapy of Georgia, LLC (BenchMark - Cartersville)
- Independent Physical Therapy of Georgia, LLC (BenchMark Physical Therapy)
- Indian Mounds Inpatient Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.