NPIMap

Organization Active NPI

Compassionate Healthcare Management Group, Inc.

  • Community Based Hospice Care Agency
  • Cumming, GA
National Provider Identifier
1497713754
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COMPASSIONATE HEALTHCARE MANAGEMENT GROUP, INC.
Practice address
102 Mary Alice Park Rd Ste 101
Cumming, GA 30040-2666
Phone
(678) 717-0969
Fax
(678) 717-0964
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Nicholas Gachassin III
Title
Secretary/Treasurer
Phone
(337) 233-1307

Specialties & licenses 1

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

Addresses

Primary practice location

102 Mary Alice Park Rd Ste 101
Cumming, GA 30040-2666

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other identifiers 1

IdentifierTypeStateIssuer
957163126AMedicaidGA

Other names 1

  • Heart of Hospice North Atlanta Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060623000053 GA Part A Provider - Hospice 8325050909 Practice locations: Cumming, GA

Hospice certification: CCN 111634

Legal name
COMPASSIONATE HEALTHCARE MANAGEMENT GROUP, INC.
Doing business as
HEART OF HOSPICE NORTH ATLANTA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 3, 2006
Last certification
Oct 21, 2021
Ownership / control type
Other
Organization structure
CorporationProprietary
Incorporated
Apr 4, 2006 in GA
Enrollment address
102 Mary Alice Park Rd
Ste 101
Cumming, GA 30040-2666

National Provider Directory

National Provider Directory

Locations

1801 Peachtree St NE
Ste 100
Atlanta, GA 30309
Phone (678) 651-1440

2295 Parklake Dr NE
Ste 190
Atlanta, GA 30345
Phone (678) 651-1440

1435 Haw Creek Cir E
Ste 402
Cumming, GA 30041
Phone (678) 717-0969

102 Mary Alice Park Rd
Ste 101
Cumming, GA 30040
Phone (678) 717-0969

915 Interstate Ridge Dr
Ste A2
Gainesville, GA 30501
Phone (470) 248-4120

175 Langley Dr
Ste A3
Lawrenceville, GA 30046
Phone (678) 442-8626

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Marcus Donavon Macip Individual Corporate OfficerSecretary Feb 22, 2023
Halcyon Healthcare LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Oct 1, 2015 100%
Kimberly Seymour Individual Corporate OfficerCfo/Treasurer Feb 22, 2023
Georgia Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Oct 1, 2015 100%
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Oct 1, 2015 100%
Operational/Managerial Control Oct 1, 2015
Megan Jones Individual W-2 Managing EmployeeAdministrator/Director of Nursing Aug 24, 2022
Operational/Managerial ControlAdministrator/Director of Nursing Aug 24, 2022
Joshua Lee Proffitt Individual Corporate OfficerPresident Oct 1, 2015
Compassionate Hospice of Georgia Inc Organization, Lafayette, LA Corporation 5% Or Greater Direct Ownership Interest Oct 1, 2015 100%

Facilities with the same owner 13

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

View all 13

Practitioners 1

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Hospice

Medicare Care Compare
Listed as
Heart of Hospice North AtlantaCCN 111634
Ownership
For-Profit
Certified
Aug 3, 2006
Medicare certification status
ActiveFrom the Provider of Services file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1497713754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MARY ALICE PARK RD STE 101",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402666",
            "telephone_number": "678-717-0969",
            "fax_number": "678-717-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE HEALTHCARE MANAGEMENT GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "957163126A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart of Hospice North Atlanta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.