NPIMap

Organization Active NPI

Hillcrest Hospice, Inc

Doing business as Portsbridge Hospice

  • Community Based Hospice Care Agency
  • Augusta, GA
National Provider Identifier
1821059270
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
121201H Issued in GA
Legal business name
HILLCREST HOSPICE, INC
Doing business as
Portsbridge Hospice
Practice address
1365 Interstate Pkwy
Augusta, GA 30909-5626
Phone
(706) 860-7374
Fax
(706) 860-9410
NPI assigned
Mar 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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 121201H GA Primary

Addresses

Primary practice location

1365 Interstate Pkwy
Augusta, GA 30909-5626

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
HSP062MedicaidSC

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": "1821059270",
    "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": "1365 INTERSTATE PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095626",
            "telephone_number": "706-860-7374",
            "fax_number": "706-860-9410"
        }
    ],
    "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": "121201H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP062",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portsbridge Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, 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.