Organization Active NPI

A/B Hospice, LLC

  • Community Based Hospice Care Agency
  • Marietta, GA
National Provider Identifier
1235654039
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
A/B HOSPICE, LLC
Practice address
1395 S Marietta Pkwy SE Ste 116
Marietta, GA 30067-7852
Phone
(770) 427-2700
Fax
(770) 427-2900
NPI assigned
Aug 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Christopher Smith
Title
Cfo
Phone
(205) 949-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1395 S Marietta Pkwy SE Ste 116
Marietta, GA 30067-7852

Mailing address

135 Gemini Cir Ste 202
Birmingham, AL 35209-5842
Phone (205) 949-0400

Other names 1

  • Affinity Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180511001564 GA Part A Provider - Hospice 7618231010 Practice locations: Marietta, GA

Hospice certification: CCN 111762

Legal name
A/B HOSPICE LLC
Doing business as
AFFINITY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 21, 2015
Last certification
Jun 16, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
1395 S Marietta Pkwy SE
Ste 116
Marietta, GA 30067-7852

Care Compare: Hospice

Medicare Care Compare
Listed as
Affinity HospiceCCN 111762
Ownership
For-Profit
Certified
May 21, 2015
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2147631Ab Hospice LLC, Dba Affinity Hospice1395 South Marietta Parkway, BLDG 400, Suite 116, Marietta, GA 30067Certificate of waiverApr 23, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Ray L Shrout Individual 5% Or Greater Indirect Ownership Interest Nov 4, 2022 11.8%
Corporate OfficerCeo Feb 23, 2023
LLR Equity Partners VI LP Organization, Philadelphia, PA Holding company, For-profit 5% Or Greater Indirect Ownership Interest Feb 23, 2023 35.6%
LLR VI LL-Ah LP Organization, Philadelphia, PA Holding company, For-profit 5% Or Greater Indirect Ownership Interest Feb 23, 2023 15.8%
LLR LP Co-Invest VI-Ah LLC Organization, Philadelphia, PA LLC, Holding company 5% Or Greater Indirect Ownership Interest Feb 23, 2023 9.5%
Affinity Hospice Intermediate Holdings LLC Organization, Birmingham, AL LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 23, 2023 100%
Christopher Smith Individual Corporate OfficerCeo Sep 29, 2025 100%
Fosh Holdings LLC Organization, Key Largo, FL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Feb 23, 2023 11.8%
Dragonfly Finance Holdco LLC Organization, Birmingham, AL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Feb 23, 2023 100%
Adam C Cruse Individual Corporate DirectorCfo Sep 1, 2025 100%
Go IV Equalization (Eci) LP Organization, New York, NY 5% Or Greater Indirect Ownership Interest Feb 23, 2023 9.4%
LLR VI-Ah LLC Organization, Philadelphia, PA LLC, Holding company 5% Or Greater Indirect Ownership Interest Feb 23, 2023 35.6%
Affinity Hospice Holdings, LLC Organization, Birmingham, AL LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 23, 2023 100%
Operational/Managerial Control Feb 23, 2023
Anupama S Ravikanth Individual Contracted Managing EmployeeMD; Aug 13, 2025 100%
LLR Equity Partners International VI LP Organization, Philadelphia, PA Holding company, For-profit 5% Or Greater Indirect Ownership Interest Feb 23, 2023 15.8%
Timothy Kimbrough Individual W-2 Managing EmployeeAd; Sep 22, 2025 100%
Affinity Hospice Ultimate Holdings LLC Organization, Birmingham, AL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Feb 23, 2023 100%
LLR Equity Partners VI Co-Invest LP Organization, Philadelphia, PA Holding company, For-profit 5% Or Greater Indirect Ownership Interest Feb 23, 2023 9.5%
Franklin Park Co-Investment Fund V LP Organization, Bala Cynwyd, PA Holding company, For-profit 5% Or Greater Indirect Ownership Interest Feb 23, 2023 6.2%
Bridgeway Hospice Holdings LLC Organization, Birmingham, AL LLC 5% Or Greater Direct Ownership Interest Jun 14, 2019 100%

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.

Change-of-ownership history 1

DateEventCounterparty
Feb 26, 2018 Change of OwnershipThis provider was the buyer Bridgeway HospiceCCN 111762, GA, NPI 1326476698

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1235654039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GEMINI CIR STE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095842",
            "telephone_number": "205-949-0400",
            "fax_number": "205-949-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 S MARIETTA PKWY SE STE 116",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677852",
            "telephone_number": "770-427-2700",
            "fax_number": "770-427-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A/B HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-949-0400"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.