Organization Active NPI

Your Family Hospice, LLC

  • Community Based Hospice Care Agency
  • Hinesville, GA
National Provider Identifier
1093281131
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
YOUR FAMILY HOSPICE, LLC
Practice address
229 W General Screven Way Ste E
Hinesville, GA 31313-3036
Phone
(912) 332-7969
Fax
(912) 332-5364
NPI assigned
Oct 16, 2018
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Melissa Thomas, FNPNPI 1508229840
Title
Ceo
Phone
(912) 332-7969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners 3

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

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Hospice

Medicare Care Compare
Listed as
Your Family Hospice, LLCCCN 851520
Ownership
For-Profit
Certified
Jan 3, 2020
Medicare certification status
ActiveFrom the Provider of Services file

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Hospice certification: CCN 851520

Medicare enrollment files
Legal name
YOUR FAMILY HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 3, 2020
Last certification
Dec 4, 2019
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Incorporated
Jun 29, 2018 in GA
Enrollment address
229 W General Screven Way
Ste E
Hinesville, GA 31313-3036

All disclosed owners & managing parties 5

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Megan Case Individual W-2 Managing EmployeeAd; Mar 31, 2025 50%
Lafayette Burks Individual Contracted Managing EmployeeMD; Mar 22, 2023
Melissa Diane Thomas Individual 5% Or Greater Direct Ownership InterestMedical Consultation With Clinic Jun 29, 2018 49%
Limited Partnership InterestCeo Co-Owner Jun 29, 2018 49%
Devonya Pinchen Individual Operational/Managerial ControlQuality Management Feb 25, 2019
Florence O Baggs Individual 5% Or Greater Direct Ownership InterestMedical Consultation to Nursing Jun 29, 2018 50%
Limited Partnership InterestCeo Co Owner Jun 29, 2018 50%

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20190806004160 GA Part a Provider - Hospice 4981931490 Practice locations: Hinesville, GA

National Provider Directory

National Provider Directory

Locations

740 E General Stewart Way
Ste 101
Hinesville, GA 31313
Phone (912) 334-9584

229 W General Screven Way
Ste E
Hinesville, GA 31313
Phone (912) 332-7969

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

229 W General Screven Way Ste E
Hinesville, GA 31313-3036

Mailing address

229 W General Screven Way Ste E
Hinesville, GA 31313-3036
Phone (912) 332-7969

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 13, 2021.

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1093281131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 W GENERAL SCREVEN WAY STE E",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133036",
            "telephone_number": "912-332-7969",
            "fax_number": "912-332-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 W GENERAL SCREVEN WAY STE E",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133036",
            "telephone_number": "912-332-7969",
            "fax_number": "912-332-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR FAMILY HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-332-7969",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

Verify at the official NPI Registry.