Professional Hospice & Palliative Care

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PROFESSIONAL HOSPICE & PALLIATIVE CARE

Practice address

2795 Main St W Ste 18a
Snellville, GA 30078-3071

Phone

(470) 275-6185

Fax

(470) 275-6178

NPI assigned

Mar 1, 2013

Organization subpart

No

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

Authorized official

Name

Anissa Dawn Hemingway

Title

Ceo

Phone

(470) 275-6185

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1447590336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 MAIN ST W STE 18A",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783071",
            "telephone_number": "470-275-6185",
            "fax_number": "470-275-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 MAIN ST W STE 18A",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783071",
            "telephone_number": "470-275-6185",
            "fax_number": "470-275-6178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2917 Professional Pkwy",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309073581",
            "country_code": "US",
            "telephone_number": "706-305-1904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFESSIONAL HOSPICE & PALLIATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "HEMINGWAY",
        "authorized_official_first_name": "ANISSA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-275-6185"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.