Providence Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

075-0253-H Issued in GA

Legal business name

PROVIDENCE HOSPICE, INC.

Practice address

100 Corporate Center Drive
Lower Level
Stockbridge, GA 30281-7244

Phone

(678) 284-9385

Fax

(678) 284-9391

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Ian K. Ash

Title

Chief Executive Office

Phone

(404) 644-5134

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Karima N Sohani, FNP-C,FNP-BC, AGNP-C

  • Family Nurse Practitioner
  • Norcross, GA
  • NPI 1447621693
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1720150212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CORPORATE CENTER DRIVE",
            "address_2": "LOWER LEVEL",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817244",
            "telephone_number": "678-284-9385",
            "fax_number": "678-284-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CORPORATE CENTER DRIVE",
            "address_2": "LOWER LEVEL",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817244",
            "telephone_number": "678-284-9385",
            "fax_number": "678-284-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "ASH",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICE",
        "authorized_official_telephone_number": "404-644-5134"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "075-0253-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015893264A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Community Based Hospice Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.