Organization Active NPI

The Hospice of the South, LLC

  • Community Based Hospice Care Agency
  • Americus, GA
National Provider Identifier
1568627289
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
1290306H Issued in GA
Legal business name
THE HOSPICE OF THE SOUTH, LLC
Practice address
206 Rees St
Americus, GA 31709-3753
Phone
(229) 928-4142
Fax
(229) 928-4108
NPI assigned
Jul 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Ray Lee Shrout
Title
President
Phone
(334) 798-2987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 1290306H GA Primary

Addresses

Primary practice location

206 Rees St
Americus, GA 31709-3753

Mailing address

PO Box 805
Americus, GA 31709-0805
Phone (229) 928-4142

Other identifiers 1

IdentifierTypeStateIssuer
1290306HMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1568627289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 805",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317090805",
            "telephone_number": "229-928-4142",
            "fax_number": "229-928-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 REES ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093753",
            "telephone_number": "229-928-4142",
            "fax_number": "229-928-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOSPICE OF THE SOUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "SHROUT",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-798-2987"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "1290306H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1290306H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.