Organization Active NPI

Glory Hospice & Palliative Care Company

  • Community Based Hospice Care Agency
  • Columbus, GA
National Provider Identifier
1346543741
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GLORY HOSPICE & PALLIATIVE CARE COMPANY
Practice address
122 Enterprise CT
Suite D
Columbus, GA 31904-3651
Phone
(706) 507-5445
Fax
(706) 507-5488
NPI assigned
Dec 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Authorized official

Name
Kevin Eugene Gardenhire
Title
Owner
Phone
(706) 507-5445

Specialties & licenses 1

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

Addresses

Primary practice location

122 Enterprise CT
Suite D
Columbus, GA 31904-3651

Mailing address

122 Enterprise CT
Suite D
Columbus, GA 31904-3651
Phone (706) 507-5445

Other identifiers 1

IdentifierTypeStateIssuer
111715OtherGAMEDICARE PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

114 Enterprise Ct
Columbus, GA 31904
Phone (706) 507-5445

122 Enterprise Ct
Ste D
Columbus, GA 31904
Phone (706) 507-5445

205 N Lewis St
Ste 2
Lagrange, GA 30240
Phone (706) 756-1032

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1346543741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 ENTERPRISE CT",
            "address_2": "SUITE D",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043651",
            "telephone_number": "706-507-5445",
            "fax_number": "706-507-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 ENTERPRISE CT",
            "address_2": "SUITE D",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043651",
            "telephone_number": "706-507-5445",
            "fax_number": "706-507-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY HOSPICE & PALLIATIVE CARE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "GARDENHIRE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-507-5445"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "111715",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.