Active NPI
Hearth Healthcare of Georgia, LLC
- Community Based Hospice Care Agency
- Fort Oglethorpe, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HEARTH HEALTHCARE OF GEORGIA, LLC
- Practice address
- 93 Crye Leike Dr
Fort Oglethorpe, GA 30742-4055 - Phone
- (706) 866-9854
- Fax
- (706) 858-9371
- NPI assigned
- Jan 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jesse R Moore
- Title
- Chief Administrative Officer
- Phone
- (857) 331-6271
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
93 Crye Leike Dr
Fort Oglethorpe, GA 30742-4055
Mailing address
500 Faulconer Dr Ste 200
Charlottesville, VA 22903-5089
Phone (434) 977-9711
Other names 1
- Hearth Hospice
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150129002606 | GA | Part A Provider - Hospice | 7911221536 | Practice locations: Fort Oglethorpe, GA |
Hospice certification: CCN 111513
- Legal name
- HEARTH HEALTHCARE OF GEORGIA, LLC
- Doing business as
- HEARTH HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jun 26, 1986
- Last certification
- Jul 28, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Aug 29, 2014 in GA
- Enrollment address
- 93 Crye Leike Dr
Fort Oglethorpe, GA 30742-4055
Care Compare: Hospice
Medicare Care Compare- Listed as
- Hearth Hospice
- Ownership
- Other
- Certified
- Jun 26, 1986
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2052601 | Hearth Healthcare of Georgia, LLC | Certificate of waiver | Nov 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
93 Crye Leike Dr
Fort Oglethorpe, GA 30742
Phone (706) 866-8500
2636 Battlefield Pkwy
Ste 101
Fort Oglethorpe, GA 30742
1800A Rossville Ave
Ste 7
Chattanooga, TN 37408
Phone (423) 531-6555
317 Ault Rd
Ste 216
Signal Mtn, TN 37377
Phone (423) 521-5404
Ownership & related parties
All disclosed owners & managing parties 16
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| THL Equity Fund VIII Investors (Hospice Care), L.P. | 5% Or Greater Indirect Ownership Interest | Feb 11, 2021 | 29.16% |
| Jesse Reo Moore | Corporate Officer | May 26, 2021 | |
| W-2 Managing Employee | May 26, 2021 | ||
| Care Hospice, Inc. | 5% Or Greater Direct Ownership Interest | Feb 11, 2021 | 100% |
| Thomas H. Lee Equity Fund VIII, L.P. | 5% Or Greater Indirect Ownership Interest | Feb 11, 2021 | 15.07% |
| Thomas H. Lee Parallel Fund VIII, L.P. | 5% Or Greater Indirect Ownership Interest | Feb 11, 2021 | 27.44% |
| Amanda Leslie | W-2 Managing Employee | May 19, 2026 | |
| Care Hospice Acquisition, Inc. | 5% Or Greater Indirect Ownership Interest | Feb 11, 2021 | 100% |
| Randy R Heisser | Contracted Managing Employee | Jul 1, 2022 | |
| Hospice Care Buyer, Inc. | 5% Or Greater Indirect Ownership Interest | Feb 11, 2021 | 100% |
| Hospice Care Holdings, L.P. | 5% Or Greater Indirect Ownership Interest | Feb 11, 2021 | 100% |
| Bart K Valdez | Corporate Officer | Jan 6, 2025 | |
| W-2 Managing Employee | Jan 6, 2025 | ||
| Hospice Care Intermediate I, Inc. | 5% Or Greater Indirect Ownership Interest | Feb 11, 2021 | 100% |
| Grant Brown | Corporate Officer | Feb 11, 2021 | |
| W-2 Managing Employee | Feb 11, 2021 | ||
| John B Hunter | 5% Or Greater Indirect Ownership Interest | Feb 11, 2021 | 9.42% |
| Hospice Care Intermediate II, Inc. | 5% Or Greater Indirect Ownership Interest | Feb 11, 2021 | 100% |
| Dana K Reid | Corporate Officer | Jan 4, 2025 | |
| W-2 Managing Employee | Jan 4, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- East Ridge, TN
- NPI 1689620999
Contracted Managing Employee
Facilities with the same owner 38
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Augusta, GA
- NPI 1043303753
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- Brunswick, GA
- NPI 1780215764
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- Mason, OH
- NPI 1942720388
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- Canfield, OH
- NPI 1952692543
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- Jacksonville, FL
- NPI 1376240788
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- Weatherford, TX
- NPI 1972611143
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- Marlborough, MA
- NPI 1730361742
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- Bedford, NH
- NPI 1689981193
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- Charlottesville, VA
- NPI 1740430263
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- Concord, CA
- NPI 1467859900
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- Fall River, MA
- NPI 1134688575
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- West Warwick, RI
- NPI 1164948220
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Rome, GA
- NPI 1235725383
-
- Family Nurse Practitioner
- Fort Oglethorpe, GA
- NPI 1407377831
-
- Hospitalist Physician
- West Columbia, SC
- NPI 1902003395
-
- Family Nurse Practitioner
- Centre, AL
- NPI 1356848733
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1437123726
-
- Family Nurse Practitioner
- Chattanooga, TN
- NPI 1659932978
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Chattanooga, TN
- NPI 1720191604
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784505600000",
"number": "1821077017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 FAULCONER DR STE 200",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229035089",
"telephone_number": "434-977-9711",
"fax_number": "434-235-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 CRYE LEIKE DR",
"city": "FORT OGLETHORPE",
"state": "GA",
"postal_code": "307424055",
"telephone_number": "706-866-9854",
"fax_number": "706-858-9371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTH HEALTHCARE OF GEORGIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-16",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "JESSE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "857-331-6271"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network Inc.",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd Ste B",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Hearth Hospice",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hearth Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Oglethorpe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.