Merit Hospice of Atlanta LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MERIT HOSPICE OF ATLANTA LLC

Practice address

300 W I Pkwy # 208a
Dallas, GA 30132-5079

Phone

(770) 843-4376

Fax

(770) 216-1740

NPI assigned

May 7, 2021

Organization subpart

No

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

Authorized official

Name

Stanley Njoku, REGISTERED NURSENPI 1760347405

Title

Director of Nursing

Phone

(770) 843-4376

Specialties & licenses 1

Addresses

Other names 1

• Merit Hospice of Atlanta LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Hospice certification: CCN 851577

Legal name

MERIT HOSPICE OF ATLANTA, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 23, 2023

Last certification

Mar 23, 2023

Ownership / control type

Proprietary - Individual

Organization structure

LLCProprietary

Incorporated

Apr 19, 2021 in GA

Enrollment address

300 W I Pkwy
Ste 208a
Dallas, GA 30132-5079

Listed as

Merit Hospice of Atlanta, LLCCCN 851577

Certified

Mar 23, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• James Michael Rogan, MD

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1982704300

  Contracted Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stanley Njoku

  • Registered Nurse
  • Dallas, GA
  • NPI 1760347405
  NPD Authorized official

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• James Michael Rogan, MD

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1982704300

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1336723105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W I PKWY # 208A",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301325079",
            "telephone_number": "770-843-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W I PKWY # 208A",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301325079",
            "telephone_number": "770-843-4376",
            "fax_number": "770-216-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIT HOSPICE OF ATLANTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "NJOKU",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "770-843-4376",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merit Hospice of Atlanta LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Dallas, GA
• Providers in Dallas, GA by specialty
• Community Based Hospice Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.

Verify at the official NPI Registry.