Active NPI
Hope Hospice of Atlanta, Inc
- Community Based Hospice Care Agency
- Dallas, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HOPE HOSPICE OF ATLANTA, INC
- Practice address
- 300 W I Pkwy
Suite 208
Dallas, GA 30132-5079 - Phone
- (770) 694-6750
- Fax
- (770) 818-5720
- NPI assigned
- Apr 21, 2015
- Last updated
- Apr 21, 2015
- 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. Stanley Njoku
- Title
- Chief Executive Officer
- Phone
- (770) 694-6750
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
300 W I Pkwy
Suite 208
Dallas, GA 30132-5079
Mailing address
300 W I Pkwy
Suite 208
Dallas, GA 30132-5079
Phone (770) 694-6750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150903000530 | GA | Part A Provider - Hospice | 2769798883 | Practice locations: Hiram, GA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1528455169. Details of each certification follow.
Hospice certification: CCN 111770
- Legal name
- HOPE HOSPICE OF ATLANTA, INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Nov 24, 2015
- Last certification
- Sep 2, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Jul 22, 2014 in GA
- Enrollment address
- 5604 Wendy Bagwell Pkwy
Ste 422
Hiram, GA 30141-7815
Care Compare: Hospice
Medicare Care Compare- Listed as
- Hope Hospice of Atlanta
- Ownership
- For-Profit
- Certified
- Nov 24, 2015
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2103326 | Hope Hospice of Atlanta, LLC | Certificate of waiver | Oct 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
300 W I Pkwy
Ste 208
Dallas, GA 30132
Phone (404) 853-9316
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Stanley C. Njoku | 5% Or Greater Direct Ownership Interest | Jul 22, 2014 | 100% |
| Corporate Officer | Jul 22, 2014 | 33.33% | |
| W-2 Managing Employee | Jul 22, 2014 | 33.33% | |
| James Rogan | Contracted Managing Employee | Jun 27, 2017 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1982704300
Contracted Managing Employee
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Nurse
- Dallas, GA
- NPI 1760347405
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1982704300
Affiliated clinicians 1
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": "1429574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429574400000",
"number": "1528455169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W I PKWY",
"address_2": "SUITE 208",
"city": "DALLAS",
"state": "GA",
"postal_code": "301325079",
"telephone_number": "770-694-6750",
"fax_number": "770-818-5720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W I PKWY",
"address_2": "SUITE 208",
"city": "DALLAS",
"state": "GA",
"postal_code": "301325079",
"telephone_number": "770-694-6750",
"fax_number": "770-818-5720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE HOSPICE OF ATLANTA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-21",
"last_updated": "2015-04-21",
"status": "A",
"authorized_official_last_name": "NJOKU",
"authorized_official_first_name": "STANLEY",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "770-694-6750",
"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": []
}
Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.