Active NPI
North Star Hospice, LLC
- Community Based Hospice Care Agency
- Canton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- North Star Hospice, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Hospice
- Ownership
- Other
- Certified
- Dec 8, 2011
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Birmingham, AL
- NPI 1235789900
Member Of
-
- Community Based Hospice Care Agency
- Birmingham, AL
- NPI 1962893347
Member Of
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Lacy Marie Woods | W-2 Managing Employee | Jun 1, 2026 | 100% |
| Ray L Shrout | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 11.8% |
| LLR Equity Partners VI LP | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 35.6% |
| LLR VI LL-Ah LP | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 15.8% |
| LLR LP Co-Invest VI-Ah LLC | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 9.5% |
| Affinity Hospice Intermediate Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 100% |
| Christopher Smith | Corporate Officer | Sep 29, 2025 | 100% |
| Fosh Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 11.8% |
| Dragonfly Finance Holdco LLC | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 100% |
| Adam C Cruse | Corporate Officer | Jul 15, 2024 | 100% |
| Go IV Equalization (Eci) LP | 5% Or Greater Indirect Ownership Interest | Nov 4, 2022 | |
| LLR VI-Ah LLC | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 35.6% |
| Dennis Sehgal | W-2 Managing Employee | Nov 1, 2025 | |
| Affinity Hospice Holdings, LLC | 5% Or Greater Direct Ownership Interest | Dec 17, 2021 | 100% |
| Operational/Managerial Control | Nov 30, 2018 | ||
| LLR Equity Partners International VI LP | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 15.8% |
| Affinity Hospice Ultimate Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 100% |
| LLR Equity Partners VI Co-Invest LP | 5% Or Greater Indirect Ownership Interest | Dec 17, 2021 | 9.5% |
| Franklin Park Co-Investment Fund V LP | 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.
-
- Community Based Hospice Care Agency
- Marietta, GA
- NPI 1235654039
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equalization (Eci) LP, LLR Equity Part
-
- Community Based Hospice Care Agency
- Claxton, GA
- NPI 1548501000
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equalization (Eci) LP, LLR Equity Part
-
- Community Based Hospice Care Agency
- Valdosta, GA
- NPI 1972709160
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equalization (Eci) LP, LLR Equity Part
-
- Community Based Hospice Care Agency
- Stockbridge, GA
- NPI 1043632334
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equalization (Eci) LP, LLR Equity Part
-
- Community Based Hospice Care Agency
- Lawrenceville, GA
- NPI 1003273095
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equalization (Eci) LP, LLR Equity Part
-
- Community Based Hospice Care Agency
- Athens, GA
- NPI 1396948790
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equalization (Eci) LP, LLR Equity Part
-
- Community Based Hospice Care Agency
- Birmingham, AL
- NPI 1962893347
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, LLR Equity Partners International VI LP, LLR
-
- Community Based Hospice Care Agency
- White Hall, AR
- NPI 1932874757
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equalization (Eci) LP, LLR Equity Part
-
- Community Based Hospice Care Agency
- Greenville, SC
- NPI 1700329455
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC
-
- Community Based Hospice Care Agency
- Bristol, VA
- NPI 1922571561
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, Go IV Equalization (Eci) LP, LLR Equity Part
-
- Community Based Hospice Care Agency
- Greenville, SC
- NPI 1649521048
Affinity Hospice Holdings, LLC, Affinity Hospice Intermediate Holdings LLC, Affinity Hospice Ultimate Holdings LLC, Dragonfly Finance Holdco LLC, Fosh Holdings LLC, Franklin Park Co-Investment Fund V LP, LLR Equity Partners International VI LP, LLR
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Woodstock, GA
- NPI 1740214220
-
- Family Nurse Practitioner
- Cartersville, GA
- NPI 1598463630
-
- Family Nurse Practitioner
- Centre, AL
- NPI 1356848733
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"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.