Active NPI
Westside Hospice & Palliative Care, LLC
- Community Based Hospice Care Agency
- Austell, GA
National Provider Identifier
1457066573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- WESTSIDE HOSPICE & PALLIATIVE CARE, LLC
- Practice address
- 5990 Love St
Austell, GA 30168-4029 - Phone
- (678) 353-8528
- NPI assigned
- Jan 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anita Prince, NP
- Title
- Organizer & Manager
- Phone
- (678) 353-8528
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary | ||
| Inpatient Hospice | 315D00000X |
Addresses
Primary practice location
5990 Love St
Austell, GA 30168-4029
Mailing address
5990 Love St
Austell, GA 30168-4029
Phone (678) 353-8528
National Provider Directory
National Provider DirectoryLocations
5990 Love St
Austell, GA 30168
Phone (678) 353-8528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674432000000",
"number": "1457066573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5990 LOVE ST",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301684029",
"telephone_number": "678-353-8528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5990 LOVE ST",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301684029",
"telephone_number": "678-353-8528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTSIDE HOSPICE & PALLIATIVE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A",
"authorized_official_last_name": "PRINCE",
"authorized_official_first_name": "ANITA",
"authorized_official_title_or_position": "ORGANIZER & MANAGER",
"authorized_official_telephone_number": "678-353-8528",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
},
{
"code": "315D00000X",
"taxonomy_group": "",
"desc": "Hospice, Inpatient",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.