Active NPI
Complete Choice Hospice, LLC
- Community Based Hospice Care Agency
- Powder Springs, GA
National Provider Identifier
1326795261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | completechoicehospice@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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, LLC
- Certified
- Nov 7, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Marquita Reed | 5% Or Greater Direct Ownership Interest | Nov 10, 2021 | 100% |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.