Altus Healthcare and Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

044-232-H Issued in GA

Legal business name

ALTUS HEALTHCARE AND HOSPICE INC

Practice address

1 Dunwoody Park
Suite 128
Dunwoody, GA 30338-7404

Phone

(770) 730-8405

Fax

(770) 730-8408

NPI assigned

Feb 21, 2007

Last updated

Oct 2, 2007By 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. Drew Anderson

Title

Ceo Cfo

Phone

(770) 730-8405

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1396880852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DUNWOODY PARK",
            "address_2": "SUITE 128",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303387404",
            "telephone_number": "770-730-8405",
            "fax_number": "770-730-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DUNWOODY PARK",
            "address_2": "SUITE 128",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303387404",
            "telephone_number": "770-730-8405",
            "fax_number": "770-730-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTUS HEALTHCARE AND HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "CEO CFO",
        "authorized_official_telephone_number": "770-730-8405",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "044-232-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA STATE LICENSE",
            "identifier": "044-232-H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.