Embracing Hospice Care of South Atlanta,LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

067161H Issued in GA

Legal business name

EMBRACING HOSPICE CARE OF SOUTH ATLANTA,LLC

Doing business as

Embracing Hosice

Practice address

2340 Patrick Henry Pkwy
Ste 200
McDonough, GA 30253-4325

Phone

(678) 961-2170

Fax

(678) 961-2161

NPI assigned

Aug 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Rich Fogle

Title

Cfo

Phone

(904) 493-6745

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Embracing Hosice Doing business as

Locations

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1225047087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N LAURA ST",
            "address_2": "STE 1800",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023664",
            "telephone_number": "904-493-6745",
            "fax_number": "904-262-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 PATRICK HENRY PKWY",
            "address_2": "STE 200",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534325",
            "telephone_number": "678-961-2170",
            "fax_number": "678-961-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACING HOSPICE CARE OF SOUTH ATLANTA,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "FOGLE",
        "authorized_official_first_name": "RICH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "904-493-6745",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "067161H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00965258A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embracing Hosice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.