NPIMap

Organization Active NPI

Mablehouse Hospice

  • Community Based Hospice Care Agency
  • Snellville, GA
National Provider Identifier
1619351095
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MABLEHOUSE HOSPICE
Practice address
2140 McGee Rd
Ste. C-260
Snellville, GA 30078-2980
Phone
(678) 638-1088
NPI assigned
Jul 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Authorized official

Name
Mrs. Anita Miranda Jones-Gates, RN, MSN/MHANPI 1316321987
Title
Administrator/Executive Director
Phone
(770) 875-5519

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

2140 McGee Rd
Ste. C-260
Snellville, GA 30078-2980

Mailing address

2140 McGee Rd
Ste. C-260
Snellville, GA 30078-2980
Phone (678) 638-1088

National Provider Directory

National Provider Directory

Locations

2140 McGee Rd
Ste C260
Snellville, GA 30078
Phone (678) 638-1088

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1619351095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 MCGEE RD",
            "address_2": "STE. C-260",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782980",
            "telephone_number": "678-638-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 MCGEE RD",
            "address_2": "STE. C-260",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782980",
            "telephone_number": "678-638-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABLEHOUSE HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "JONES-GATES",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "MIRANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "770-875-5519",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN/MHA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

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