Oakbrook Hospice of Georgia, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

OAKBROOK HOSPICE OF GEORGIA, LLC

Practice address

660 W Bankhead Hwy Ste E
Villa Rica, GA 30180-1606

Phone

(678) 840-4333

Fax

(678) 840-5090

NPI assigned

Oct 16, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Glen Sider

Title

Ceo

Phone

(914) 390-4380

Specialties & licenses 1

Addresses

Tax ID family

Agape Hospice Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Agape Hospice Care of Northeast Georgia, LLC

  dba Agape Hospice Care

  • Community Based Hospice Care Agency
  • Lawrenceville, GA
  • NPI 1932538964
  NPD tax ID

Locations

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1649505173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 W BANKHEAD HWY STE E",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801606",
            "telephone_number": "678-840-4333",
            "fax_number": "678-840-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 W BANKHEAD HWY STE E",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801606",
            "telephone_number": "678-840-4333",
            "fax_number": "678-840-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKBROOK HOSPICE OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "SIDER",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-390-4380",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Community Based Hospice Care Agency in Georgia

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