NPIMap

Organization Active NPI

Caresouth HHA Holdings of Gainesville, LLC

Doing business as Enhabit Hospice

  • Community Based Hospice Care Agency
  • Kennesaw, GA
National Provider Identifier
1649627969
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CARESOUTH HHA HOLDINGS OF GAINESVILLE, LLC
Doing business as
Enhabit Hospice
Practice address
1000 Cobb Place Blvd NW Ste 310
Kennesaw, GA 30144
Phone
(678) 218-5745
Fax
(770) 794-8302
NPI assigned
May 17, 2016
Last updated
Aug 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ENHABIT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Lisa M Arbuckle
Title
Director, Licensing & Enrollment
Phone
(214) 239-6500

Specialties & licenses 1

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

Addresses

Primary practice location

1000 Cobb Place Blvd NW Ste 310
Kennesaw, GA 30144

Mailing address

6688 N Central Expy Ste 1300
Dallas, TX 75206-3950
Phone (214) 239-6500

Other names 1

  • Enhabit Hospice Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ENHABIT.HOSPICE.GA.MRH@DIRECT.HCHB.COM Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160721001554 GA Part A Provider - Hospice 6507969094 Practice locations: Kennesaw, GA; Lawrenceville, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649627969. Details of each certification follow.

Hospice certification: CCN 111704

Legal name
CARESOUTH HHA HOLDINGS OF GAINESVILLE, LLC
Doing business as
ENHABIT HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 26, 2011
Last certification
Jul 14, 2021
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Enrollment address
1000 Cobb Place Blvd NW
Ste 310
Kennesaw, GA 30144-7082

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Enhabit HospiceCCN 111704 · All quality measures
Ownership
For-Profit
Certified
Jan 26, 2011
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Caresouth HHA Holdings of Gainesville LLC2 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.

Locations

45 Medical Center Dr
#101
Dawsonville, GA 30534
Phone (706) 216-5082

360 Walmart Way
Eastanollee, GA 30538
Phone (706) 297-7159

360 Walmart Way
Ste A2
Eastanollee, GA 30538
Phone (706) 297-7159

590 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 532-0503

349 Towne Pl
Hiawassee, GA 30546
Phone (706) 896-5037

584 Bell Creek Rd
Hiawassee, GA 30546
Phone (706) 896-5037

11865 Augusta Rd
Lavonia, GA 30553
Phone (706) 356-1041

884 Legacy Park Dr
Ste 101
Lawrenceville, GA 30043
Phone (678) 325-2350

884 Legacy Park Dr
Ste 201
Lawrenceville, GA 30043
Phone (678) 805-8439

150 W Tugalo St
Toccoa, GA 30577
Phone (706) 297-7159

602 Big a Rd
Ste 140
Toccoa, GA 30577
Phone (706) 297-7159

1979 Lakeside Pkwy
Ste 150
Tucker, GA 30084
Phone (770) 682-6262

3469 Lawrenceville Hwy
Ste 308
Tucker, GA 30084
Phone (770) 682-6262

Interoperability endpoints

  • Direct secure messaging: enhabit.hospice.ga.mrh@direct.hchb.com

Ownership & related parties

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tanya R Marion Individual Corporate OfficerChief Human Resources Officer Jul 1, 2022
Enhabit Holdings, Inc. Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2022 100%
8 Knots Management, LLC Organization, Dallas, TX Investment firm 5% Or Greater Indirect Ownership Interest Dec 31, 2024 8.81%
Caresouth HHA Holdings, LLC Organization, Dallas, TX LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest May 1, 2016
Deerfield Management Company LP Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Dec 31, 2023 9.97%
Blackrock Inc Organization, New York, NY Corporation, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2023 7.8%
Collin S McQuiddy Individual Corporate OfficerChief Accounting Officer Aug 5, 2024
Barbara a Jacobsmeyer Individual Corporate OfficerPresident & Chief Executive Offi Jun 21, 2021
Operational/Managerial ControlPresident & Ceo; Chain Home Offi Jan 1, 2023
Sarah W Braley Individual Corporate OfficerAssistant Secretary Feb 2, 2023
Julie D Jolley Individual Corporate OfficerExecutive VP Home Health Operations Jun 4, 2021
Vanguard Group Inc Organization, Malvern, PA Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2023 5.91%
Enhabit Inc Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2022 100%
Wells Fargo Bank, N.a. Organization, Charlotte, NC Financial institution 5% Or Greater Security Interest Jul 1, 2022 100%
Advanced Homecare Management LLC Organization, Dallas, TX LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2022 100%
Shanda L Milton Individual W-2 Managing EmployeeAd;Hospice Administrator Sep 19, 2025
Dylan C Black Individual Corporate OfficerGeneral Counsel, Officer-Secreta Feb 22, 2023
Jeanne L Kalvaitis Individual Corporate OfficerExecutive VP of Hospice Operations Jul 1, 2022
Caresouth Health System Inc Organization, Dallas, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2016
Ryan T Solomon Individual Corporate OfficerChief Financial Officer & Author Dec 9, 2024
Amit Dua Individual Contracted Managing EmployeeMD; Jul 24, 2023
Sean P Richardson Individual Corporate OfficerChief Tax Officer Feb 22, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 196

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 196

Change-of-ownership history 1

DateEventCounterparty
May 1, 2016 Change of OwnershipThis provider was the buyer Camelia Home Health and HospiceCCN 111704, GA, NPI 1194035766

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1649627969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6688 N CENTRAL EXPY STE 1300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752063950",
            "telephone_number": "214-239-6500",
            "fax_number": "214-239-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COBB PLACE BLVD NW STE 310",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "30144",
            "telephone_number": "678-218-5745",
            "fax_number": "770-794-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESOUTH HHA HOLDINGS OF GAINESVILLE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENHABIT, INC.",
        "enumeration_date": "2016-05-17",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "ARBUCKLE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR, LICENSING & ENROLLMENT",
        "authorized_official_telephone_number": "214-239-6500"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ENHABIT.HOSPICE.GA.MRH@DIRECT.HCHB.COM",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Exchange",
            "address_1": "1000 Cobb Place Blvd NW Ste 310",
            "city": "Kennesaw",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Enhabit Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.