NPIMap

Organization Active NPI

Affinis Hospice, LLC

  • Community Based Hospice Care Agency
  • Columbus, GA
National Provider Identifier
1447813266
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AFFINIS HOSPICE, LLC
Practice address
2320 Double Churches Rd Ste a
Columbus, GA 31909-2662
Phone
(706) 940-6012
Fax
(706) 507-4595
NPI assigned
Apr 17, 2019
Last updated
Apr 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Authorized official

Name
Sarah Absher Thompson
Title
VP of Operations
Phone
(912) 538-0465

Specialties & licenses 1

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

Addresses

Primary practice location

2320 Double Churches Rd Ste a
Columbus, GA 31909-2662

Mailing address

806 Maple Dr
Vidalia, GA 30474-7208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190705000077 GA Part A Provider - Hospice 1759579253 Practice locations: Columbus, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447813266. Details of each certification follow.

Hospice certification: CCN 851518

Legal name
AFFINIS HOSPICE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 13, 2019
Last certification
Nov 13, 2019
Ownership / control type
Non-Profit - Private
Organization structure
LLCNon-profit
Incorporated
Dec 9, 2009 in GA
Enrollment address
2320 Double Churches Rd
Ste a
Columbus, GA 31909-2662

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Affinis Hospice, LLCCCN 851518 · All quality measures
Ownership
Non-Profit
Certified
Nov 13, 2019
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2167347Affinis Hospice, LLC2320 Double Churches Road, Suite a, Columbus, GA 31909Certificate of waiverJun 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Affinis Hospice11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2320 Double Churches Rd
Ste A
Columbus, GA 31909
Phone (706) 940-6012

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Community Ancillary Services Inc Organization, Dalton, GA Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 2019
Michael D Satchell Individual Contracted Managing EmployeeMD; Mar 26, 2025
Jason Yoxtheimer Individual Corporate OfficerAdministrator May 1, 2019 100%
W-2 Managing EmployeeAdministrator May 1, 2019
Sarah a Thompson Individual Corporate OfficerVice President of Operations May 1, 2019
W-2 Managing EmployeeVice President of Operations May 1, 2019 100%

Owners & managing parties with NPI records 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1447813266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 MAPLE DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304747208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 DOUBLE CHURCHES RD STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092662",
            "telephone_number": "706-940-6012",
            "fax_number": "706-507-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINIS HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ABSHER",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "912-538-0465"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.