Heartlite Hospice Ellijay, Inc.
Organization Active NPI Community Based Hospice Care Agency · East Ellijay, GA
NPI 1194028688 · NPPES record last updated Jan 29, 2013
Key facts
- NPI
- 1194028688
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 061-0343-H (GA)
- Legal business name
- HEARTLITE HOSPICE ELLIJAY, INC.
- Practice address
- 163 Dalton Street
East Ellijay, GA 30540 - Phone
- (706) 635-7001
- Fax
- (706) 635-7003
- NPI assigned
- Dec 6, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Curtis A Danekas, CPA
- Title
- Cfo
- Phone
- (630) 942-0100
National Provider Directory
Locations
107 Pilgrim Village Dr
Ste 100200
Cumming, GA 30040
Phone (800) 420-2638
107 Pilgrim Village Dr
Ste 100
Cumming, GA 30040
Phone (770) 781-1035
163 Dalton St
Ellijay, GA 30540
Phone (706) 635-7001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 061-0343-H | GA | Yes |
Addresses
Primary practice location
163 Dalton Street
East Ellijay, GA 30540
Mailing address
800 W. Roosevelt Road
Suite C-206
Glen Ellyn, IL 60137-5851
Phone (630) 942-0100
Other providers in East Ellijay, GA
- Georgia CVS Pharmacy LLC
- Schneida Goodman-Bell
- Annsley Katherine Greeson
- Matthew William Hallman
- Heartlite Hospice Care, Inc
- Joanna Ho
- Hospice Advantage, LLC.
- Kristin Hunter
- Matthew Elijah Ilao
- Immediate Medcare, LLC
All providers in East Ellijay, 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 Jan 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.