The VI and Milton Weinstein Hospice, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

060-130-H Issued in GA

Legal business name

THE VI AND MILTON WEINSTEIN HOSPICE, INC

Practice address

3150 Howell Mill Rd
Atlanta, GA 30327-2199

Phone

(404) 352-4308

Fax

(404) 351-0182

NPI assigned

Feb 20, 2007

Last updated

Sep 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Neelam Rahatekar

Title

Cfo-Coo

Phone

(404) 351-1934

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710021878. Details of each certification follow.

• CCN 111577 Hospice · Active · Details

Hospice certification: CCN 111577

Legal name

THE VI AND MILTON WEINSTEIN HOSPICE INC

Doing business as

THE WEINSTEIN HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 11, 1999

Last certification

Oct 10, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationNon-profit

Incorporated

Jul 16, 1999 in GA

Enrollment address

3150 Howell Mill Road NW
Atlanta, GA 30327-2199

Listed as

The Weinstein HospiceCCN 111577 · All quality measures

Ownership

Non-Profit

Certified

Nov 11, 1999

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

All disclosed owners & managing parties 1

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

Affiliated clinicians 2

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

• Irshad Syed, M.D.

  • Family Medicine Physician
  • Marietta, GA
  • NPI 1568499390

  Hospice

  Care Compare affiliation
• Roman Antone Hill, M.D.

  • Emergency Medicine Physician
  • Saginaw, MI
  • NPI 1629232939

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1710021878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 HOWELL MILL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272199",
            "telephone_number": "404-352-4308",
            "fax_number": "404-351-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 HOWELL MILL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272199",
            "telephone_number": "404-352-4308",
            "fax_number": "404-351-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VI AND MILTON WEINSTEIN HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "RAHATEKAR",
        "authorized_official_first_name": "NEELAM",
        "authorized_official_title_or_position": "CFO-COO",
        "authorized_official_telephone_number": "404-351-1934"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "060-130-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "852629A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Atlanta, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.