Organization Active NPI

Presbyterian Hospice and Palliative Care Center, Inc..

  • Community Based Hospice Care Agency
  • Quitman, GA
National Provider Identifier
1487713616
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PRESBYTERIAN HOSPICE AND PALLIATIVE CARE CENTER, INC..
Practice address
301 E Screven St
Quitman, GA 31643-2131
Phone
(229) 263-6191
NPI assigned
Dec 6, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dianne Arrendale, CPA
Title
Cfo
Phone
(229) 263-6193

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X GA Primary

Addresses

NPPES NPI Registry

Primary practice location

301 E Screven St
Quitman, GA 31643-2131

Mailing address

301 E Screven St
PO Box 926
Quitman, GA 31643-2131
Phone (229) 263-6191

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
761468344AMedicaidGA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 8, 2008.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1487713616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E SCREVEN ST",
            "address_2": "PO BOX 926",
            "city": "QUITMAN",
            "state": "GA",
            "postal_code": "316432131",
            "telephone_number": "229-263-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E SCREVEN ST",
            "city": "QUITMAN",
            "state": "GA",
            "postal_code": "316432131",
            "telephone_number": "229-263-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN HOSPICE AND PALLIATIVE CARE CENTER, INC..",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "ARRENDALE",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "229-263-6193",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761468344A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quitman, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.