Organization Active NPI

Guardian Hospice of Georgia, LLC

  • Community Based Hospice Care Agency
  • Atlanta, GA
National Provider Identifier
1528294477
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
033-190-H Issued in GA
Legal business name
GUARDIAN HOSPICE OF GEORGIA, LLC
Practice address
4360 Chamblee Dunwoody Rd
Suite 535
Atlanta, GA 30341-1049
Phone
(770) 458-1624
Fax
(770) 458-2390
NPI assigned
Jun 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Authorized official

Name
Ms. Jewelene Griffin
Title
Vice President of Hospice
Phone
(678) 672-7977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 033-190-H GA Primary

Addresses

Primary practice location

4360 Chamblee Dunwoody Rd
Suite 535
Atlanta, GA 30341-1049

Mailing address

17855 Dallas Pkwy
Suite 200
Dallas, TX 75287-6852
Phone (972) 267-1100

National Provider Directory

National Provider Directory

Locations

4360 Chamblee Dunwoody Rd
Ste 535
Atlanta, GA 30341
Phone (770) 458-1624

3401 Florence Cir
Ste 200
Powder Springs, GA 30127
Phone (615) 371-1904

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1528294477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17855 DALLAS PKWY",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876852",
            "telephone_number": "972-267-1100",
            "fax_number": "972-267-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 CHAMBLEE DUNWOODY RD",
            "address_2": "SUITE 535",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411049",
            "telephone_number": "770-458-1624",
            "fax_number": "770-458-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HOSPICE OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JEWELENE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF HOSPICE",
        "authorized_official_telephone_number": "678-672-7977",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "033-190-H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.