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
- Last updated
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Lawrenceville, GA
- NPI 1841880705
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.