Organization Active NPI

Westside Hospice & Palliative Care, LLC

  • Community Based Hospice Care Agency
  • Austell, GA
National Provider Identifier
1457066573
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Jan 23, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.