Active NPI
Peaceful Purpose Hospice of East Georgia, LLC
- Community Based Hospice Care Agency
- Covington, GA
National Provider Identifier
1750102604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- PEACEFUL PURPOSE HOSPICE OF EAST GEORGIA, LLC
- Practice address
- 7129 Floyd St NE
Covington, GA 30014-1578 - Phone
- (404) 435-0085
- Fax
- (877) 422-1281
- NPI assigned
- Oct 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly S Farley
- Title
- Administrator
- Phone
- (404) 435-0085
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
7129 Floyd St NE
Covington, GA 30014-1578
Mailing address
106A N Jefferson Ave
Eatonton, GA 31024-1020
Phone (706) 991-5444
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729641600000",
"number": "1750102604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106A N JEFFERSON AVE",
"city": "EATONTON",
"state": "GA",
"postal_code": "310241020",
"telephone_number": "706-991-5444",
"fax_number": "877-422-1281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7129 FLOYD ST NE",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300141578",
"telephone_number": "404-435-0085",
"fax_number": "877-422-1281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACEFUL PURPOSE HOSPICE OF EAST GEORGIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-23",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A",
"authorized_official_last_name": "FARLEY",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "404-435-0085"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.