Organization Active NPI

Diakon, Inc.

Doing business as Integrity Hospice

  • Community Based Hospice Care Agency
  • Evans, GA
National Provider Identifier
1619270774
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
036-0347-H Issued in GA
Legal business name
DIAKON, INC.
Doing business as
Integrity Hospice
Practice address
5104 Wells Drive
Evans, GA 30809
Phone
(706) 814-0178
Fax
(706) 243-4649
NPI assigned
Dec 13, 2010
Last updated
Dec 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Mr. Robert Tucker Reed, R.N.
Title
President
Phone
(706) 814-0178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 036-0347-H GA Primary

Addresses

Primary practice location

5104 Wells Drive
Evans, GA 30809

Mailing address

5104 Wells Drive
Evans, GA 30809
Phone (706) 814-0178

Other names 1

  • Integrity Hospice Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1619270774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 WELLS DRIVE",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "30809",
            "telephone_number": "706-814-0178",
            "fax_number": "706-243-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5104 WELLS DRIVE",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "30809",
            "telephone_number": "706-814-0178",
            "fax_number": "706-243-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAKON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "TUCKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-814-0178",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "036-0347-H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrity Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.