Professional Hospice and Palliative Care,LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

036-0385-H Issued in GA

Legal business name

PROFESSIONAL HOSPICE AND PALLIATIVE CARE,LLC

Practice address

2917 Professional Pkwy Ste B
Augusta, GA 30907-3589

Phone

(706) 305-1904

NPI assigned

Oct 24, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Anissa Dawn Hemingway

Title

Ceo

Phone

(706) 869-1904

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1639507809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 PROFESSIONAL PKWY STE B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309073589",
            "telephone_number": "706-305-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 PROFESSIONAL PKWY STE B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309073589",
            "telephone_number": "706-305-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOSPICE AND PALLIATIVE CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "HEMINGWAY",
        "authorized_official_first_name": "ANISSA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-869-1904",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "036-0385-H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.