Organization Active NPI

Athena Hospice, LLC

  • Community Based Hospice Care Agency
  • Athens, GA
National Provider Identifier
1710353198
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
15067361 Issued in GA
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, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
ATHENA HEALTHCARE SOLUTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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)CodeLicenseStatePrimary
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 Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jul 1, 2017 Change of OwnershipThis provider was the seller Bristol Hospice - East GeorgiaCCN 111782, GA, NPI 1780105528

Change of ownership 1

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

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.

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

Verify at the official NPI Registry.