Organization Active NPI

The Hospital Authority of Habersham County

Doing business as HMC Home Care

  • Home Health Agency
  • Demorest, GA
National Provider Identifier
1578624185
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
068-191 Issued in GA
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, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
THE HOSPITAL AUTHORITY OF HABERSHAM COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000740165AMedicaidGA
21397OtherGAWELLCARE

Other names 1

  • HMC Home Care Doing business as

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

DateEventCounterparty
Jul 1, 2023 Change of OwnershipThis provider was the seller Northeast Georgia Home Health III LLCCCN 117101, GA, NPI 1467136457

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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.

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

Sources for this page

Verify at the official NPI Registry.