Organization Active NPI

North Star Hospice, LLC

  • Community Based Hospice Care Agency
  • Canton, GA
National Provider Identifier
1497061709
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
NORTH STAR HOSPICE, LLC
Practice address
138 Mountain Brook Dr Ste 102
Canton, GA 30115-9016
Phone
(706) 403-4033
Fax
(064) 033-2507
NPI assigned
Aug 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Mr. Christopher Smith
Title
Ceo
Phone
(205) 949-0400

Specialties & licenses 1

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

Addresses

Primary practice location

138 Mountain Brook Dr Ste 102
Canton, GA 30115-9016

Mailing address

135 Gemini Cir Ste 202
Birmingham, AL 35209-5842
Phone (205) 949-0400

Other practice location 1

800 Broad St Ste 214
Rome, GA 30161-3140
Phone (062) 309-2627

Other names 2

  • Affinity Hospice Doing business as
  • North Star Hospice, LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111116000233 GA Part A Provider - Hospice 6608040266 Practice locations: Rome, GA; Canton, GA

Hospice certification: CCN 111717

Legal name
NORTH STAR HOSPICE, LLC
Doing business as
AFFINITY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 8, 2011
Last certification
Aug 18, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Oct 1, 2010 in DE
Enrollment address
138 Mountain Brook Dr
Ste 102
Canton, GA 30115-9016

Care Compare: Hospice

Medicare Care Compare
Listed as
Affinity HospiceCCN 111717
Ownership
Other
Certified
Dec 8, 2011
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 2

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

Locations

216 Newtown Rd NE
#B
Calhoun, GA 30701
Phone (706) 403-4033

138 Mountain Brook Dr
#102
Canton, GA 30115
Phone (706) 403-4033

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Lacy Marie Woods Individual W-2 Managing EmployeeAd; Jun 1, 2026 100%
Ray L Shrout Individual 5% Or Greater Indirect Ownership Interest Dec 17, 2021 11.8%
LLR Equity Partners VI LP Organization, Philadelphia, PA 5% Or Greater Indirect Ownership Interest Dec 17, 2021 35.6%
LLR VI LL-Ah LP Organization, Philadelphia, PA 5% Or Greater Indirect Ownership Interest Dec 17, 2021 15.8%
LLR LP Co-Invest VI-Ah LLC Organization, Philadelphia, PA LLC 5% Or Greater Indirect Ownership Interest Dec 17, 2021 9.5%
Affinity Hospice Intermediate Holdings LLC Organization, Birmingham, AL LLC, Holding company 5% Or Greater Indirect Ownership Interest Dec 17, 2021 100%
Christopher Smith Individual Corporate OfficerCeo Sep 29, 2025 100%
Fosh Holdings LLC Organization, Key Largo, FL LLC, Holding company 5% Or Greater Indirect Ownership Interest Dec 17, 2021 11.8%
Dragonfly Finance Holdco LLC Organization, Birmingham, AL LLC, Holding company 5% Or Greater Indirect Ownership Interest Dec 17, 2021 100%
Adam C Cruse Individual Corporate OfficerChief Financial Officer Jul 15, 2024 100%
Go IV Equalization (Eci) LP Organization, New York, NY Holding company 5% Or Greater Indirect Ownership Interest Nov 4, 2022
LLR VI-Ah LLC Organization, Philadelphia, PA LLC 5% Or Greater Indirect Ownership Interest Dec 17, 2021 35.6%
Dennis Sehgal Individual W-2 Managing EmployeeMD; Nov 1, 2025
Affinity Hospice Holdings, LLC Organization, Birmingham, AL Created for acquisition, LLC, Holding company 5% Or Greater Direct Ownership Interest Dec 17, 2021 100%
Operational/Managerial Control Nov 30, 2018
LLR Equity Partners International VI LP Organization, Philadelphia, PA 5% Or Greater Indirect Ownership Interest Dec 17, 2021 15.8%
Affinity Hospice Ultimate Holdings LLC Organization, Birmingham, AL LLC, Holding company 5% Or Greater Indirect Ownership Interest Dec 17, 2021 100%
LLR Equity Partners VI Co-Invest LP Organization, Philadelphia, PA 5% Or Greater Indirect Ownership Interest Dec 17, 2021 9.5%
Franklin Park Co-Investment Fund V LP Organization, Bala Cynwyd, PA 5% Or Greater Indirect Ownership Interest Dec 17, 2021 6.2%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1497061709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GEMINI CIR STE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095842",
            "telephone_number": "205-949-0400",
            "fax_number": "706-624-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 MOUNTAIN BROOK DR STE 102",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301159016",
            "telephone_number": "706-403-4033",
            "fax_number": "064-033-2507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Broad St Ste 214",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301613140",
            "country_code": "US",
            "telephone_number": "062-309-2627",
            "fax_number": "866-380-0544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH STAR HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-949-0400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Star Hospice, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.