Acworth Community Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ACWORTH COMMUNITY HOSPICE LLC

Practice address

4929 N Main St Ste 206
Acworth, GA 30101-5323

Phone

(678) 471-6983

Fax

(678) 403-2310

NPI assigned

May 9, 2023

Last updated

May 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lori Alexander Mabry, DHSCNPI 1780297960

Title

Owner / Ceo

Phone

(678) 471-6983

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lori Alexander Mabry, PHIC, RMA, RPT, CPCT

  • Home Health Aide
  • Acworth, GA
  • NPI 1780297960
  NPD Authorized official

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1164112561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 VALLEY FARM LN",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301021777",
            "telephone_number": "678-471-6983",
            "fax_number": "678-403-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 N MAIN ST STE 206",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015323",
            "telephone_number": "678-471-6983",
            "fax_number": "678-403-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACWORTH COMMUNITY HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "MABRY",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "678-471-6983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DHSC"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Acworth, GA
• Providers in Acworth, GA by specialty
• Community Based Hospice Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.