Organization Active NPI

Ennoble Hospice Atlanta LLC

  • Community Based Hospice Care Agency
  • Atlanta, GA
National Provider Identifier
1811764574
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ENNOBLE HOSPICE ATLANTA LLC
Practice address
1100 Peachtree St NE Ste 200
Atlanta, GA 30309-4829
Phone
(862) 812-9010
NPI assigned
Dec 4, 2023
Last updated
Dec 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Kush Das
Title
Ceo/Manager
Phone
(862) 812-9010

Specialties & licenses 1

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

Addresses

Primary practice location

1100 Peachtree St NE Ste 200
Atlanta, GA 30309-4829

Mailing address

1100 Peachtree St NE Ste 200
Atlanta, GA 30309-4829

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1811764574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 PEACHTREE ST NE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PEACHTREE ST NE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094829",
            "telephone_number": "862-812-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNOBLE HOSPICE ATLANTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "DAS",
        "authorized_official_first_name": "KUSH",
        "authorized_official_title_or_position": "CEO/MANAGER",
        "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": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.