Organization Active NPI

Complete Choice Hospice, LLC

  • Community Based Hospice Care Agency
  • Powder Springs, GA
National Provider Identifier
1326795261
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COMPLETE CHOICE HOSPICE, LLC
Practice address
4171 Marietta St Ste 100a
Powder Springs, GA 30127-4800
Phone
(470) 327-9331
Fax
(470) 260-3862
NPI assigned
Mar 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Mrs. Marquita Reed
Title
Administrator
Phone
(404) 551-8516

Specialties & licenses 1

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

Addresses

Primary practice location

4171 Marietta St Ste 100a
Powder Springs, GA 30127-4800

Mailing address

4644 Powder Springs Dallas Rd Unit 1615
Powder Springs, GA 30127-7713
Phone (470) 327-9331

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL completechoicehospice@gmail.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221010001023 GA Part A Provider - Hospice 2062898364 Practice locations: Powder Springs, GA

Hospice certification: CCN 851601

Legal name
COMPLETE CHOICE HOSPICE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 7, 2024
Last certification
Nov 7, 2024
Ownership / control type
Proprietary - Individual
Organization structure
LLCProprietary
Incorporated
Nov 10, 2021 in GA
Enrollment address
4171 Marietta St
Ste 100a
Powder Springs, GA 30127-4800

Care Compare: Hospice

Medicare Care Compare
Listed as
Complete Choice Hospice, LLCCCN 851601
Certified
Nov 7, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

4644 Powder Springs Dallas Rd
Unit 1615
Powder Springs, GA 30127

4171 Marietta St
Ste 100A
Powder Springs, GA 30127
Phone (404) 943-8701

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Marquita Reed Individual 5% Or Greater Direct Ownership InterestOwner/ Administrator Nov 10, 2021 100%
W-2 Managing EmployeeAdminstrator Nov 10, 2021 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1326795261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4644 POWDER SPRINGS DALLAS RD UNIT 1615",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301277713",
            "telephone_number": "470-327-9331",
            "fax_number": "470-260-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 MARIETTA ST STE 100A",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301274800",
            "telephone_number": "470-327-9331",
            "fax_number": "470-260-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CHOICE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "MARQUITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-551-8516",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "completechoicehospice@gmail.com",
            "affiliation": "N",
            "address_1": "4171 Marietta St Ste 100A",
            "city": "Powder Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301274800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

Verify at the official NPI Registry.