NPIMap

Organization Active NPI

Affinis Hospice, LLC

Doing business as Affinis Hospice

  • Community Based Hospice Care Agency
  • Albany, GA
National Provider Identifier
1215188917
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
047-0327-H Issued in GA
Legal business name
AFFINIS HOSPICE, LLC
Doing business as
Affinis Hospice
Practice address
507 N Jefferson St
Albany, GA 31701-2354
Phone
(229) 435-2109
Fax
(229) 435-0729
NPI assigned
Oct 1, 2008
Last updated
Nov 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Authorized official

Name
Mrs. Sarah A. Thompson, RN
Title
Director of Operations
Phone
(229) 435-2109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 047-0327-H GA Primary

Addresses

Primary practice location

507 N Jefferson St
Albany, GA 31701-2354

Mailing address

507 N Jefferson St
Albany, GA 31701-2354
Phone (229) 435-2109

Other names 1

  • Affinis Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120521000308 GA Part A Provider - Hospice 1759579253 Practice locations: Albany, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215188917. Details of each certification follow.

Hospice certification: CCN 111690

Legal name
AFFINIS HOSPICE, LLC
Doing business as
AFFINIS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 5, 2010
Last certification
Jun 16, 2021
Ownership / control type
Non-Profit - Private
Organization structure
LLCNon-profit
Incorporated
Dec 9, 2009 in GA
Enrollment address
507 North Jefferson Street
Albany, GA 31701-2354

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Affinis Hospice, LLCCCN 111690 · All quality measures
Ownership
Non-Profit
Certified
Mar 5, 2010
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Affinis Hospice11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

507 N Jefferson St
Albany, GA 31701
Phone (229) 435-2109

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Home and Community Services Inc Organization, Gray, GA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2021 100%
Michael D Satchell Individual Contracted Managing EmployeeMD; Apr 1, 2012
Colleen Dawn Butler Individual Corporate OfficerAdministrator Feb 1, 2024 100%
W-2 Managing EmployeeAdministrator Feb 1, 2024 100%
Sarah a Thompson Individual Corporate Director Mar 1, 2012
W-2 Managing Employee Mar 1, 2012
Operational/Managerial Control Mar 1, 2012

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1215188917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N JEFFERSON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012354",
            "telephone_number": "229-435-2109",
            "fax_number": "229-435-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N JEFFERSON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012354",
            "telephone_number": "229-435-2109",
            "fax_number": "229-435-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINIS HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "229-435-2109",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "047-0327-H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinis Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Affinis Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.