At Home Healthcare and Hospice LLC
Organization Active NPI Community Based Hospice Care Agency · Conyers, GA
NPI 1104031863 · NPPES record last updated Apr 7, 2026
Key facts
- NPI
- 1104031863
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 031-0292-H (GA)
- Legal business name
- AT HOME HEALTHCARE AND HOSPICE LLC
- Practice address
- 1051 Culpepper Dr SW # 100
Conyers, GA 30094-5986 - Phone
- (678) 413-1360
- Fax
- (678) 413-1359
- NPI assigned
- May 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Janet Combs
- Title
- VP Licensure
- Phone
- (704) 662-1761
Owners & managing parties with NPI records 22
Facilities with the same owner 195
Affiliated clinicians 2
-
Anteneh Gizaw, M.D.
-
Cherie M. Lamb, D.O.
Medicare Care Compare: Hospice
- Listed as
- Gentiva
- Ownership
- For-Profit
- Certified
- Mar 5, 2008
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2019419 | At Home Healthcare and Hospice, LLC | Certificate of waiver | Aug 29, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Hospice certification: CCN 111668
- Legal name
- AT HOME HEALTHCARE AND HOSPICE ,LLC
- Doing business as
- GENTIVA
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 5, 2008
- Last certification
- May 18, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC · Proprietary
- Incorporated
- Apr 16, 2007 in GA
- Enrollment address
- 1051 Culpepper Dr SW
Ste 100
Conyers, GA 30094-5986
All disclosed owners & managing parties 22
| Name | Role | Since | Share |
|---|---|---|---|
| CH Services Midco Holdings Inc |
5% Or Greater Indirect Ownership Interest | Jan 19, 2016 | 100% |
| Kentucky Homecare Parent Inc. |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Ronald C Lazas |
Corporate Officer |
Apr 27, 2021 | |
| Curo Health Services Holdings, Inc |
5% Or Greater Indirect Ownership Interest | Jan 19, 2016 | 100% |
| David Robinson Arnold |
Corporate Officer |
Dec 31, 2021 | |
| Operational/Managerial Control |
Dec 31, 2021 | ||
| Thomas Joseph Dolan |
Corporate Officer |
Nov 30, 2021 | |
| Charlotte Midco, LLC |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 100% |
| New Century Hospice Inc |
5% Or Greater Direct Ownership Interest | Jan 19, 2016 | 100% |
| Kentucky Homecare Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Humana Inc |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Falcon Hospice, LP |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 100% |
| David Allen Causby |
Corporate Officer |
Apr 27, 2021 | |
| Dianne Kelly |
W-2 Managing Employee |
Sep 12, 2021 | |
| Charlotte Buyer, Inc. |
5% Or Greater Indirect Ownership Interest | Jul 11, 2018 | 100% |
| Curo Health Services LLC |
5% Or Greater Indirect Ownership Interest | Jan 19, 2016 | 100% |
| Janet L Combs |
Corporate Officer |
Nov 1, 2021 | |
| CD&R Falcon Holdings, LP |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 60% |
| Centerwell Health Services Inc |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Kah Hospice Company, Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2022 | 100% |
| Hospice Development Company 2, LLC |
5% Or Greater Indirect Ownership Interest | Jan 19, 2016 | 100% |
| CH Services Group Holdings Inc |
5% Or Greater Indirect Ownership Interest | Jan 19, 2016 | 100% |
| CH Services Holdings Inc |
5% Or Greater Indirect Ownership Interest | Jan 19, 2016 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080117000164 | GA | Part a Provider - Hospice | 8123109048 | Practice locations: Conyers, GA |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 031-0292-H | GA | Yes |
Addresses
Primary practice location
1051 Culpepper Dr SW # 100
Conyers, GA 30094-5986
Mailing address
PO Box 4060
Mooresville, NC 28117-4060
Phone (704) 664-2876
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 972200610A | Medicaid | GA |
Other names
- Gentiva
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- Deveane Tatanya Atkinson
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All providers in Conyers, GA · Community Based Hospice Care Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.