Active NPI
Regency Hospice of Georgia, LLC
- Community Based Hospice Care Agency
- Aiken, SC
National Provider Identifier
1609824762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- HPC-086
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSP057 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI 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.