Mablehouse Hospice

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MABLEHOUSE HOSPICE

Practice address

6405 The TRL
Stone Mountain, GA 30087-4959

Phone

(770) 875-5519

Fax

(770) 875-5519

NPI assigned

Jan 22, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Anita Miranda Jones-Gates, RN, MSN/MGHA

Title

Ceo

Phone

(770) 875-5519

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1124417555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 THE TRL",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300874959",
            "telephone_number": "770-875-5519",
            "fax_number": "770-875-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 THE TRL",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300874959",
            "telephone_number": "770-875-5519",
            "fax_number": "770-875-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABLEHOUSE HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "JONES-GATES",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "MIRANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-875-5519",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN/MGHA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.