HCC Healthcare of Marietta, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

00048991 Issued in GA

Legal business name

HCC HEALTHCARE OF MARIETTA, LLC

Practice address

811 Kennesaw Avenue
Marietta, GA 30060

Phone

(770) 422-2451

Fax

(770) 499-2235

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Louann Anstis

Title

Privacy Officer

Phone

(770) 619-0866

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shoreham at Marietta Doing business as

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295768497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N POINT PKWY",
            "address_2": "SUITE 440",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055210",
            "telephone_number": "770-619-0866",
            "fax_number": "770-870-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 KENNESAW AVENUE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30060",
            "telephone_number": "770-422-2451",
            "fax_number": "770-499-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCC HEALTHCARE OF MARIETTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANSTIS",
        "authorized_official_first_name": "LOUANN",
        "authorized_official_title_or_position": "PRIVACY OFFICER",
        "authorized_official_telephone_number": "770-619-0866",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "00048991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00142986A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoreham at Marietta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adrianne Hays, P.T.
• Bobbie Janeen Hayward, APRN, AGPCNP-BC
• Rebecka Hazelwood, PHARMD
• Shaina Contigiani Hazen, PA-C
• Antonia Hazlett
• Juan He, PA-C
• Keyana Headley, RBT
• Jennifer Lynn Headrick, M.D.
• Deborah Entwistle Heairlston, D.C.
• Heal Better Feel Better, LLC

• Skilled Nursing Facility in Marietta, GA
• Providers in Marietta, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.