Compassionate Care Hospice of Atlanta, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COMPASSIONATE CARE HOSPICE OF ATLANTA, LLC

Practice address

4340 Georgetown SQ
Suite 608
Atlanta, GA 30338-6231

Phone

(678) 230-4597

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Judith I Grey, MPA, RN

Title

Chief Operating Officer

Phone

(678) 230-4597

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1740368091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 CONNECTICUT DR",
            "address_2": "SUITE 1",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164177",
            "telephone_number": "609-267-1178",
            "fax_number": "609-239-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 GEORGETOWN SQ",
            "address_2": "SUITE 608",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386231",
            "telephone_number": "678-230-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE HOSPICE OF ATLANTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "GREY",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "678-230-4597",
        "authorized_official_credential": "MPA, RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "956591812",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.