Active NPI
Preferred Care Hospice LLC
- Community Based Hospice Care Agency
- Columbus, GA
National Provider Identifier
1225490667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- PREFERRED CARE HOSPICE LLC
- Practice address
- 1921 Whittlesey Rd Ste 110
Columbus, GA 31904-9209 - Phone
- (706) 844-1619
- Fax
- (706) 221-8401
- NPI assigned
- Mar 24, 2016
- Last updated
- Nov 27, 2023
- 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
- Mr. Bob Tompkins
- Title
- Ceo, Cfo
- Phone
- (706) 844-1619
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | GA | Primary | |
| Community Based Hospice Care Agency | 251G00000X |
Addresses
Primary practice location
1921 Whittlesey Rd Ste 110
Columbus, GA 31904-9209
Mailing address
1921 Whittlesey Rd Ste 110
Columbus, GA 31904-9209
Phone (706) 844-1619
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003190020A | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | jtindell@preferredcarehospice.com | Direct |
National Provider Directory
National Provider DirectoryLocations
1921 Whittlesey Rd
Ste 110
Columbus, GA 31904
Phone (706) 844-1619
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Nurse Practitioner
- Columbus, GA
- NPI 1679129993
-
- Nurse Practitioner
- Columbus, GA
- NPI 1538232376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1225490667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 WHITTLESEY RD STE 110",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319049209",
"telephone_number": "706-844-1619",
"fax_number": "706-221-8401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 WHITTLESEY RD STE 110",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319049209",
"telephone_number": "706-844-1619",
"fax_number": "706-221-8401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREFERRED CARE HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-24",
"last_updated": "2023-11-27",
"status": "A",
"authorized_official_last_name": "TOMPKINS",
"authorized_official_first_name": "BOB",
"authorized_official_title_or_position": "CEO, CFO",
"authorized_official_telephone_number": "706-844-1619",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "GA",
"license": null,
"primary": true
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003190020A",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "jtindell@preferredcarehospice.com",
"affiliation": "Y",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1921 Whittlesey Rd Ste 110",
"city": "Columbus",
"state": "GA",
"country_code": "US",
"postal_code": "319049209",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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- Tahira Iman Prendergast, M.D.
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.