Active NPI
Legacy Home Hospice LLC
- Community Based Hospice Care Agency
- Stockbridge, GA
National Provider Identifier
1154881126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.