Active NPI
Athena Hospice, LLC
- Community Based Hospice Care Agency
- Athens, GA
National Provider Identifier
1710353198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 15067361
- Legal business name
- ATHENA HOSPICE, LLC
- Practice address
- 126 Barrington Dr
Athens, GA 30605-3580 - Phone
- (706) 850-9300
- Fax
- (706) 850-9303
- NPI assigned
- Aug 19, 2015
- Last updated
- Feb 15, 2016
- Organization subpart
- Yes
- Parent organization
- ATHENA HEALTHCARE SOLUTIONS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Ahlberg
- Title
- Ceo
- Phone
- (706) 850-9300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 15067361 | GA | Primary |
Addresses
Primary practice location
126 Barrington Dr
Athens, GA 30605-3580
Mailing address
126 Barrington Dr
Athens, GA 30605-3580
Phone (706) 850-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryOwnership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jul 1, 2017 | Change of Ownership | Bristol Hospice - East Georgia |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Bristol Hospice - East Georgia
- Community Based Hospice Care Agency
- Watkinsville, GA
- NPI 1780105528
Sold to, 2017-07-01
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Athens, GA
- NPI 1932977956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455494400000",
"number": "1710353198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 BARRINGTON DR",
"city": "ATHENS",
"state": "GA",
"postal_code": "306053580",
"telephone_number": "706-850-9300",
"fax_number": "706-850-9303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 BARRINGTON DR",
"city": "ATHENS",
"state": "GA",
"postal_code": "306053580",
"telephone_number": "706-850-9300",
"fax_number": "706-850-9303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATHENA HOSPICE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ATHENA HEALTHCARE SOLUTIONS",
"enumeration_date": "2015-08-19",
"last_updated": "2016-02-15",
"status": "A",
"authorized_official_last_name": "AHLBERG",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "706-850-9300"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "GA",
"license": "15067361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.