Organization Active NPI

Legacy Home Hospice LLC

  • Community Based Hospice Care Agency
  • Stockbridge, GA
National Provider Identifier
1154881126
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LEGACY HOME HOSPICE LLC
Practice address
275 Corporate Center Dr Ste C
Stockbridge, GA 30281-7377
Phone
(678) 735-6001
NPI assigned
Mar 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Cassandra Freeman
Title
Vice President
Phone
(678) 335-1376

Specialties & licenses 1

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

Addresses

Primary practice location

275 Corporate Center Dr Ste C
Stockbridge, GA 30281-7377

Mailing address

5284 Floyd Rd SW Unit 1538
Mableton, GA 30126-6114
Phone (678) 735-6001

National Provider Directory

National Provider Directory

Locations

5284 Floyd Rd SW
Unit 1538
Mableton, GA 30126

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1154881126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5284 FLOYD RD SW UNIT 1538",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301266114",
            "telephone_number": "678-735-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CORPORATE CENTER DR STE C",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817377",
            "telephone_number": "678-735-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HOME HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "678-335-1376"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.