Organization Active NPI

Regency Hospice of Georgia, LLC

  • Community Based Hospice Care Agency
  • Aiken, SC
National Provider Identifier
1609824762
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HPC-086 Issued in SC
Legal business name
REGENCY HOSPICE OF GEORGIA, LLC
Practice address
105 Summerwood Way
Suite D
Aiken, SC 29803-7713
Phone
(803) 648-2117
Fax
(803) 648-9107
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Authorized official

Name
Douglas Abell
Title
Secretary
Phone
(704) 664-2876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HPC-086 SC Primary

Addresses

Primary practice location

105 Summerwood Way
Suite D
Aiken, SC 29803-7713

Mailing address

491 Williamson Rd
Suite 204
Mooresville, NC 28117-9252
Phone (704) 664-2876

Other identifiers 1

IdentifierTypeStateIssuer
HSP057MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1609824762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 WILLIAMSON RD",
            "address_2": "SUITE 204",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179252",
            "telephone_number": "704-664-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SUMMERWOOD WAY",
            "address_2": "SUITE D",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037713",
            "telephone_number": "803-648-2117",
            "fax_number": "803-648-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY HOSPICE OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "ABELL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "704-664-2876"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "SC",
            "license": "HPC-086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP057",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.