NPIMap

Organization Active NPI

Agape Hospice Care of Carollton, LLC

Doing business as Agape Hospice Care

  • Community Based Hospice Care Agency
  • Villa Rica, GA
National Provider Identifier
1275895419
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AGAPE HOSPICE CARE OF CAROLLTON, LLC
Doing business as
Agape Hospice Care
Practice address
126 W Montgomery St
Villa Rica, GA 30180-2734
Phone
(678) 664-0252
Fax
(866) 682-6164
NPI assigned
Jun 13, 2012
Last updated
Feb 13, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SAGE HOSPICE HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Andrea Bohannon
Title
President & Ceo
Phone
(214) 628-9951

Specialties & licenses 1

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

Addresses

Primary practice location

126 W Montgomery St
Villa Rica, GA 30180-2734

Mailing address

717 N Harwood St Ste 550
Dallas, TX 75201-6540

Other practice location 1

1395 S Marietta Pkwy SE Ste 730
Marietta, GA 30067-7886
Phone (678) 664-0252

Other names 1

  • Agape Hospice Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121024000466 GA Part A Provider - Hospice 5092971069 Practice locations: Marietta, GA; Villa Rica, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275895419. Details of each certification follow.

Hospice certification: CCN 111733

Legal name
AGAPE HOSPICE CARE OF CAROLLTON, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 31, 2013
Last certification
Apr 28, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
May 15, 2012 in GA
Enrollment address
126 W Montgomery St
Villa Rica, GA 30180-2734

Care Compare: Hospice

Medicare Care Compare
Listed as
Agape Hospice Care of Carrollton, LLCCCN 111733 · All quality measures
Ownership
For-Profit
Certified
Jan 31, 2013
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
11D2044565Agape Hospice Care of Carollton, LLC126 W Montgomery Street, Villa Rica, GA 30180Certificate of waiverSep 16, 2027

National Provider Directory

National Provider Directory

Locations

126 W Montgomery St
Villa Rica, GA 30180
Phone (404) 763-1456

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
David C Gasmire Individual Corporate DirectorBoard of Directors, Member Jun 5, 2025
Cypress Purchaser, LLC Organization, Washington, DC LLC 5% Or Greater Indirect Ownership Interest Jun 5, 2025 100%
Martis Partners IV Three Oaks Co-Invest, LP Organization, Washington, DC Private equity company 5% Or Greater Indirect Ownership Interest Jun 5, 2025 11.8%
Cypress Midco, Inc. Organization, Coconut Grove, FL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 5, 2025 100%
Andrew R Calkins Individual Corporate DirectorBoard of Directors, Member Jun 5, 2025
Angela Brand Individual W-2 Managing EmployeeAd; Oct 1, 2022
Three Oaks Hospice, Inc. Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jun 5, 2025 100%
Operational/Managerial Control Jun 5, 2025 100%
Cypress Parent Holdings, LLC Organization, Washington, DC LLC, Holding company 5% Or Greater Indirect Ownership Interest Jun 5, 2025 100%
Owen Davis Individual Corporate DirectorBoard of Directors, Chairman Jun 5, 2025
Kelly a Priegnitz Individual Corporate DirectorBoard of Directors, Member Jun 5, 2025
Martis Partners IV Cypress Aggregator LP Organization, Washington, DC 5% Or Greater Indirect Ownership Interest Jun 5, 2025 85.7%
George K Rafeedie Individual Contracted Managing EmployeeMD; Nov 1, 2014
Phillip Campbell Individual Corporate DirectorBoard of Directors, Member Jun 5, 2025
Martis Partners IV, LP Organization, Washington, DC 5% Or Greater Indirect Ownership Interest Jun 5, 2025 8.5%
Lisa M Pekar Individual W-2 Managing EmployeeDirector of Licensure Jun 5, 2025
Sage Hospice Holdings, L.L.C. Organization, Boston, MA LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Sep 1, 2020 100%
Andrea F Bohannon Individual Corporate OfficerPresident, Ceo, Asst Secretary Jun 5, 2025
Corporate DirectorBoard of Directors, Member Jun 5, 2025
Ross J Taylor Individual Corporate OfficerSecretary Jun 5, 2025
Sage Hospice Intermediate Holdings, Inc. Organization, Boston, MA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2020 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 22

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

  • Agape Hospice Care of Cherokee County, LLC

    dba Agape Hospice Care

    • Community Based Hospice Care Agency
    • Woodstock, GA
    • NPI 1043708803

    Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV Three Oaks Co-Invest, LP, Martis Partners IV, LP, Sage Hospice Holdings, L.L.C., Sage Hospice Intermediate Holdi

    CMS ownership
  • Agape Hospice Care of Clarke County, LLC

    dba Agape Hospice Care

    • Community Based Hospice Care Agency
    • Watkinsville, GA
    • NPI 1952075582

    Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV Three Oaks Co-Invest, LP, Martis Partners IV, LP, Sage Hospice Holdings, L.L.C., Sage Hospice Intermediate Holdi

    CMS ownership
  • Agape Hospice Care of Northeast Georgia, LLC

    dba Agape Hospice Care

    • Community Based Hospice Care Agency
    • Lawrenceville, GA
    • NPI 1932538964

    Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV Three Oaks Co-Invest, LP, Martis Partners IV, LP, Sage Hospice Holdings, L.L.C., Sage Hospice Intermediate Holdi

    CMS ownership
  • A Servants Heart Hospice LLC

    dba Sage Hospice and Palliative Care

    • Community Based Hospice Care Agency
    • Scottsdale, AZ
    • NPI 1881993970

    Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV Three Oaks Co-Invest, LP, Martis Partners IV, LP, Sage Hospice Holdings, L.L.C., Sage Hospice Intermediate Holdi

    CMS ownership
  • Abs Palliative and Hospice Care LLC

    dba Three Oaks Hospice

    • Community Based Hospice Care Agency
    • Hurst, TX
    • NPI 1659741411

    Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.

    CMS ownership
  • Ag Hospice LLC

    dba Three Oaks Hospice

    • Community Based Hospice Care Agency
    • Houston, TX
    • NPI 1891947040

    Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.

    CMS ownership
  • Alliance Hospice LLC

    dba Three Oaks Hospice

    • Community Based Hospice Care Agency
    • The Woodlands, TX
    • NPI 1669890810

    Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.

    CMS ownership
  • Elevation Hospice of Colorado, LLC

    dba Elevation Hospice

    • Community Based Hospice Care Agency
    • Arvada, CO
    • NPI 1710374368

    Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV Three Oaks Co-Invest, LP, Martis Partners IV, LP, Sage Hospice Holdings, L.L.C., Sage Hospice Intermediate Holdi

    CMS ownership
  • Elevation Hospice of Utah, LLC
    • Community Based Hospice Care Agency
    • Draper, UT
    • NPI 1154744548

    Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV Three Oaks Co-Invest, LP, Martis Partners IV, LP, Sage Hospice Holdings, L.L.C., Sage Hospice Intermediate Holdi

    CMS ownership
  • Global Hospice Care Inc

    dba Three Oaks Hospice

    • Community Based Hospice Care Agency
    • Beaumont, TX
    • NPI 1861813172

    Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.

    CMS ownership
  • Godly Hospice and Palliative Care LLC

    dba Three Oaks Hospice

    • Community Based Hospice Care Agency
    • Longview, TX
    • NPI 1780101642

    Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.

    CMS ownership
  • Hospice del Norte LLC

    dba Three Oaks Hospice

    • Community Based Hospice Care Agency
    • El Paso, TX
    • NPI 1457806242

    Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.

    CMS ownership
View all 22

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1275895419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 N HARWOOD ST STE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752016540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W MONTGOMERY ST",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301802734",
            "telephone_number": "678-664-0252",
            "fax_number": "866-682-6164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1395 S Marietta Pkwy SE Ste 730",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300677886",
            "country_code": "US",
            "telephone_number": "678-664-0252",
            "fax_number": "866-682-6164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AGAPE HOSPICE CARE OF CAROLLTON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAGE HOSPICE HOLDINGS, LLC",
        "enumeration_date": "2012-06-13",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "BOHANNON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "214-628-9951"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Agape Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Villa Rica, GA

Sources for this page

Verify at the official NPI Registry.