NPIMap

Organization Active NPI

Caresouth Hospice, LLC

Doing business as Enhabit Hospice

  • Community Based Hospice Care Agency
  • Fortson, GA
National Provider Identifier
1811736499
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CARESOUTH HOSPICE, LLC
Doing business as
Enhabit Hospice
Practice address
8219 N Crossing CT Ste B
Fortson, GA 31808-6955
Phone
(762) 261-3890
Fax
(762) 210-3193
NPI assigned
May 22, 2024
Last updated
Aug 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ENHABIT, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Lisa M Arbuckle
Title
Director, Licensing & Enrollment
Phone
(214) 239-6500

Specialties & licenses 1

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

Addresses

Primary practice location

8219 N Crossing CT Ste B
Fortson, GA 31808-6955

Mailing address

6688 N Central Expy Ste 1300
Dallas, TX 75206-3950
Phone (214) 239-6500

Other names 1

  • Enhabit Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250611002416 GA Part A Provider - Hospice 4385808534 Practice locations: Columbus, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811736499. Details of each certification follow.

Hospice certification: CCN 851612

Legal name
CARESOUTH HOSPICE, LLC
Doing business as
ENHABIT HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 23, 2025
Last certification
Sep 11, 2025
Organization structure
LLCProprietary
Enrollment address
7290 N Lake Dr
Ste 507
Columbus, GA 31909-2791

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Enhabit HospiceCCN 851612 · All quality measures
Certified
Sep 23, 2025
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2323760Caresouth Hospice, LLC Dba Enhabit Hospice8219 North Crossing Court, Suite B, Fortson, GA 31808Certificate of waiverMay 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
Caresouth Hospice LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

8219 N Crossing Ct
Ste B
Fortson, GA 31808
Phone (762) 261-3890

3920 Arkwright Rd
Ste 325A
Macon, GA 31210
Phone (478) 474-1155

5233 Riverside Dr
Ste C
Macon, GA 31210
Phone (478) 742-7557

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tanya R Marion Individual Corporate OfficerChief Human Resources Officer May 7, 2025
Enhabit Holdings, Inc. Organization, Dallas, TX Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest May 7, 2025 100%
8 Knots Management, LLC Organization, Dallas, TX LLC, Investment firm 5% Or Greater Indirect Ownership Interest May 7, 2025 8.81%
Deerfield Management Company LP Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest May 7, 2025 9.97%
Blackrock Inc Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest May 7, 2025 7.8%
Barbara a Jacobsmeyer Individual Corporate OfficerPresident, Ceo, Cho Administrator May 7, 2025
Sarah W Braley Individual Corporate OfficerAssistant Secretary May 7, 2025
Julie D Jolley Individual Corporate OfficerEvp of Home Health Operations, Ao May 7, 2025
Vanguard Group Inc Organization, Malvern, PA Investment firm 5% Or Greater Indirect Ownership Interest May 7, 2025 5.91%
Enhabit Inc Organization, Dallas, TX Corporation, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest May 7, 2025 100%
Wells Fargo Bank, N.a. Organization, Charlotte, NC Financial institution, For-profit 5% Or Greater Security Interest May 7, 2025 100%
Advanced Homecare Management LLC Organization, Dallas, TX LLC, For-profit 5% Or Greater Indirect Ownership Interest May 7, 2025 100%
Shanda L Milton Individual W-2 Managing EmployeeAd; May 7, 2025
Dylan C Black Individual Corporate OfficerGeneral Counsel, Secretary, Ao May 7, 2025
Jeanne L Kalvaitis Individual Corporate OfficerEvp of Hospice Operations May 7, 2025
Caresouth Health System Inc Organization, Dallas, TX Corporation, For-profit 5% Or Greater Direct Ownership Interest May 7, 2025 100%
Ryan T Solomon Individual Corporate OfficerCfo and Authorized Official May 7, 2025
Amit Dua Individual Contracted Managing EmployeeMD; May 7, 2025
Sean P Richardson Individual Corporate OfficerChief Tax Officer May 7, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 196

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 196

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1811736499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6688 N CENTRAL EXPY STE 1300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752063950",
            "telephone_number": "214-239-6500",
            "fax_number": "214-239-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8219 N CROSSING CT STE B",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318086955",
            "telephone_number": "762-261-3890",
            "fax_number": "762-210-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESOUTH HOSPICE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENHABIT, INC",
        "enumeration_date": "2024-05-22",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "ARBUCKLE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR, LICENSING & ENROLLMENT",
        "authorized_official_telephone_number": "214-239-6500"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enhabit Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Enhabit Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fortson, GA

Sources for this page

Verify at the official NPI Registry.