Spanish Oaks Hospice Inc

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

License

025180H Issued in GA

Legal business name

SPANISH OAKS HOSPICE INC

Practice address

8510 Whitfield Ave
Savannah, GA 31406-6137

Phone

(912) 336-0233

Fax

(912) 356-0193

NPI assigned

Sep 13, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Keith F Munger, RN

Title

President

Phone

(912) 356-0233

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396730792. Details of each certification follow.

• CCN 111601 Hospice · Active · Details

Hospice certification: CCN 111601

Legal name

SPANISH OAKS HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 14, 2002

Last certification

Mar 18, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Dec 9, 1999 in GA

Enrollment address

8510 Whitefield Ave
Savannah, GA 31406-6137

Listed as

Spanish Oaks Hospice, IncCCN 111601 · All quality measures

Ownership

For-Profit

Certified

Nov 14, 2002

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 2

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

Affiliated clinicians 1

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

• Joenie T Almeida, M.D.

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1447271333

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396730792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8510 WHITFIELD AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314066137",
            "telephone_number": "912-336-0233",
            "fax_number": "912-356-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 WHITFIELD AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314066137",
            "telephone_number": "912-336-0233",
            "fax_number": "912-356-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANISH OAKS HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUNGER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-356-0233",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "GA",
            "license": "025180H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Inpatient Hospice in Savannah, GA
• Providers in Savannah, GA by specialty
• Inpatient Hospice 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.
• 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.