Ennoble Hospice East Ga, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ENNOBLE HOSPICE EAST GA, LLC

Doing business as

Ennoble Care

Practice address

100 Bull St Ste 200
Savannah, GA 31401-3378

Phone

(912) 480-6208

Fax

(912) 480-6208

NPI assigned

May 3, 2024

Last updated

May 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kushabhadra Das

Title

Ceo

Phone

(862) 812-9010

Specialties & licenses 1

Addresses

Other names 1

• Ennoble Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1770330144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BULL ST STE 200",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314013378",
            "telephone_number": "912-480-6208",
            "fax_number": "912-480-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BULL ST STE 200",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314013378",
            "telephone_number": "912-480-6208",
            "fax_number": "912-480-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNOBLE HOSPICE EAST GA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "DAS",
        "authorized_official_first_name": "KUSHABHADRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "862-812-9010"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ennoble Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Savannah, GA
• Providers in Savannah, 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 May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.