Active NPI
The Hospital Authority of Habersham County
Doing business as HMC Home Care
- Home Health Agency
- Demorest, GA
National Provider Identifier
1578624185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 068-191
- Legal business name
- THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY
- Doing business as
- HMC Home Care
- Practice address
- 157 Adams Dr
Demorest, GA 30535-4564 - Phone
- (706) 754-6575
- Fax
- (706) 754-8750
- NPI assigned
- Dec 13, 2006
- Last updated
- Jan 8, 2021
- Organization subpart
- Yes
- Parent organization
- THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Tyler Williams
- Title
- Ceo
- Phone
- (706) 754-3113
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 068-191 | GA | Primary |
Addresses
Primary practice location
157 Adams Dr
Demorest, GA 30535-4564
Mailing address
PO Box 668
Demorest, GA 30535-0668
Phone (706) 754-6575
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000740165A | Medicaid | GA | |
| 21397 | Other | GA | WELLCARE |
Other names 1
- HMC Home Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Part of
- The Hosp Auth of Habersham
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jul 1, 2023 | Change of Ownership | Northeast Georgia Home Health III LLC |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Home Health Agency
- Demorest, GA
- NPI 1467136457
Sold to, 2023-07-01
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Pharmacy
- Demorest, GA
- NPI 1548644586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610064000000",
"number": "1578624185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 668",
"city": "DEMOREST",
"state": "GA",
"postal_code": "305350668",
"telephone_number": "706-754-6575",
"fax_number": "706-754-8750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 ADAMS DR",
"city": "DEMOREST",
"state": "GA",
"postal_code": "305354564",
"telephone_number": "706-754-6575",
"fax_number": "706-754-8750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY",
"enumeration_date": "2006-12-13",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "TYLER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "706-754-3113"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": "068-191",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000740165A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "21397",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HMC Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Demorest, GA
- The Hospital Authority of Habersham County
- The Hospital Authority of Habersham County
- The Hospital Authority of Habersham County (Habersham Medical Center Pharmacy)
- The Hospital Authority of Habersham County
- The Hospital Authority of Habersham County
- The Hospital Authority of Habersham County (Habersham Surgical Services)
- The Hospital Authority of Habersham County
- The Hospital Authority of Habersham County
- The Hospital Authority of Habersham County
- The Hospital Authority of Habersham County (Habersham Medical Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.