NPIMap

Organization Active NPI

Hospital Authority of Wayne County Georgia

  • Home Health Agency
  • Jesup, GA
National Provider Identifier
1699779405
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
151-031 Issued in GA
Legal business name
HOSPITAL AUTHORITY OF WAYNE COUNTY GEORGIA
Practice address
140 Colonial Way
Jesup, GA 31545-0127
Phone
(912) 427-8051
Fax
(912) 427-4045
NPI assigned
Jun 9, 2005
Organization subpart
Yes
Parent organization
HOSPITAL AUTHORITY OF WAYNE COUNTY GEORGIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Mrs. Linda Denise Hockensmith, RN
Title
Administrator
Phone
(912) 427-8051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 151-031 GA Primary

Addresses

Primary practice location

140 Colonial Way
Jesup, GA 31545-0127

Mailing address

PO Box 565
Jesup, GA 31598-0565
Phone (912) 427-8051

Other identifiers 1

IdentifierTypeStateIssuer
00041335MedicaidGA

Other names 1

  • Community Home Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130916000722 GA Part A Provider - Home Health Agency 5698663854 Practice locations: Jesup, GA

Home health agency certification: CCN 117012

Legal name
HOSPITAL AUTHORITY OF WAYNE COUNTY GEORGIA
Doing business as
COMMUNITY HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 5, 1968
Last certification
Aug 15, 2019
Ownership / control type
Proprietary
Organization structure
OtherNon-profit
Enrollment address
140 Colonial Way
Jesup, GA 31545-0127

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Community Home CareCCN 117012
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Mar 5, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0265386Community Home Care (Div of Wayne Memorial Hosp)140 Colonial Way, Jesup, GA 31545Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Wayne Co Ambulance Co7 organizations share this tax ID, including this one
Part of
Wayne Co Ambulance Co

Other organizations with this tax ID 6

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

Locations

213 W 16th St
Alma, GA 31510
Phone (912) 632-6112

213 E 16th St
Alma, GA 31510

355 S Main St
Baxley, GA 31513
Phone (912) 367-9583

227 Keller St
Blackshear, GA 31516
Phone (912) 449-3069

8395 US Highway 301
Claxton, GA 30417
Phone (912) 739-0058

8395 US Highway 301
Ste 1
Claxton, GA 30417
Phone (912) 739-2438

112 N Veterans Blvd
Glennville, GA 30427
Phone (912) 654-3930

41 N Tallahassee St
Hazlehurst, GA 31539

105 E Dame Ave
Homerville, GA 31634
Phone (912) 487-5830

865 N 1St St
Jesup, GA 31545
Phone (912) 427-6811

140 Colonial Way
Jesup, GA 31545
Phone (912) 427-8051

261 W Plum St
Jesup, GA 31545
Phone (912) 427-8051

38 SE Broad St
Metter, GA 30439
Phone (912) 685-3788

5 Church St
Ste 400
Nahunta, GA 31553
Phone (912) 462-7144

1123 Church St
Waycross, GA 31501
Phone (912) 283-2823

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Joseph Ierardi Individual Corporate OfficerCeo Aug 1, 2013 100%
Operational/Managerial ControlCeo Aug 1, 2013 100%
Linda Hockensmith Individual W-2 Managing EmployeeAd; May 12, 2016

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

Affiliated clinicians 9

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": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1699779405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 565",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315980565",
            "telephone_number": "912-427-8051",
            "fax_number": "912-427-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 COLONIAL WAY",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450127",
            "telephone_number": "912-427-8051",
            "fax_number": "912-427-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL AUTHORITY OF WAYNE COUNTY GEORGIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL AUTHORITY OF WAYNE COUNTY GEORGIA",
        "enumeration_date": "2005-06-09",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "HOCKENSMITH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "912-427-8051",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "151-031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00041335",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jesup, GA

Sources for this page

Verify at the official NPI Registry.