Twelve Oaks Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

TWELVE OAKS HOSPICE, INC.

Practice address

580 W Crossville Rd
Suite 204
Roswell, GA 30075-7505

Phone

(770) 922-2386

NPI assigned

Jul 16, 2008

Last updated

Mar 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nahid Crum

Title

Owner

Phone

(770) 922-2386

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1578727707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 W CROSSVILLE RD",
            "address_2": "SUITE 204",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757505",
            "telephone_number": "770-922-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 W CROSSVILLE RD",
            "address_2": "SUITE 204",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757505",
            "telephone_number": "770-922-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWELVE OAKS HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "CRUM",
        "authorized_official_first_name": "NAHID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-922-2386",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003111518A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.