NPIMap

Organization Active NPI

Hillcrest Hospice, Inc

  • Community Based Hospice Care Agency
  • Austell, GA
National Provider Identifier
1770544116
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
033227H Issued in GA
Legal business name
HILLCREST HOSPICE, INC
Practice address
5990 Love St
Austell, GA 30168-4029
Phone
(770) 745-1414
Fax
(770) 745-1415
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Anita Hossfeld, LMSW
Title
President
Phone
(678) 284-5856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 033227H GA Primary

Addresses

Primary practice location

5990 Love St
Austell, GA 30168-4029

Mailing address

1800 Phoenix Blvd
Suite 128
Atlanta, GA 30349-5593
Phone (678) 284-5850

Other names 1

  • Portsbridge Hospice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hillcrest Hospice Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770544116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PHOENIX BLVD",
            "address_2": "SUITE 128",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495593",
            "telephone_number": "678-284-5850",
            "fax_number": "770-909-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5990 LOVE ST",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301684029",
            "telephone_number": "770-745-1414",
            "fax_number": "770-745-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOSSFELD",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-284-5856",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "033227H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portsbridge Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.