GHC-Jesup, LLC
Organization Active NPI Community Based Hospice Care Agency · Jesup, GA
NPI 1831597616 · NPPES record last updated Jul 13, 2023
Key facts
- NPI
- 1831597616
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- GHC-JESUP, LLC
- Practice address
- 141 S Macon St
Jesup, GA 31545-1114 - Phone
- (912) 427-3202
- Fax
- (912) 427-6934
- NPI assigned
- Dec 11, 2014
- Organization subpart
- No
Authorized official
- Name
- Pamela Duncan
- Title
- Chief Compliance Officer
- Phone
- (800) 932-2738
Owners & managing parties with NPI records 1
-
Calin G Badea, M.D.
Facilities with the same owner 32
Practitioners 2
Affiliated clinicians 5
-
Calin G Badea, M.D.
-
Sydney Lance Hendrix, M.D.
Medicare Care Compare: Hospice
- Listed as
- Georgia Hospice Care
- Ownership
- For-Profit
- Certified
- May 7, 2015
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2101907 | GHC-Jesup, LLC Dba Georgia Hospice Care | Certificate of waiver | Sep 13, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Hospice certification: CCN 111760
- Legal name
- GHC-JESUP, LLC
- Doing business as
- GEORGIA HOSPICE CARE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 7, 2015
- Last certification
- Mar 17, 2021
- Ownership / control type
- Proprietary - Individual
- Organization structure
- LLC · Proprietary
- Incorporated
- Aug 25, 2014 in GA
- Enrollment address
- 141 S Macon St
Jesup, GA 31545-1114
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| Jordan Crumley |
W-2 Managing Employee |
Sep 9, 2022 | |
| Linden Capital Partners V-a LP |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 16.31% |
| Acg Intermediate, Inc. |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 100% |
| Rep Coinvest III Agp Blocker, Inc |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 28.41% |
| Troy Yarborough |
Corporate Officer |
Sep 9, 2022 | |
| Hayley Eby |
W-2 Managing Employee | Jan 30, 2023 | |
| CDPQ Fonds 780, S.E.C |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 20.53% |
| Acg Parent Holdings, LP |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 100% |
| Arrow Management Holdings LLC |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 100% |
| Linden Investments III LP |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 14.33% |
| Rep Agp II Holdco, LP |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 28.23% |
| Janelle I Plows |
W-2 Managing Employee |
Sep 9, 2022 | |
| Marsha Hayes |
W-2 Managing Employee |
Sep 9, 2022 | |
| Acg Intermediary LLC |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 100% |
| TVG HCSC Blocker, LLC |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 15.61% |
| Pamela a Duncan Owens |
Corporate Officer |
Sep 9, 2022 | |
| Rep Agp III Blocker, Inc. |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 9.82% |
| Linden Capital Partners V LP |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 10.39% |
| Acg Buyer, Inc. |
5% Or Greater Indirect Ownership Interest | Jul 25, 2025 | 100% |
| Rhonda Hamilton |
Corporate Officer |
Mar 1, 2025 | |
| Calin G Badea |
Contracted Managing Employee |
Apr 1, 2016 | |
| Dustin Williamson |
W-2 Managing Employee |
Aug 26, 2025 | |
| Acg Acquisition LLC |
5% Or Greater Direct Ownership Interest | Jul 25, 2025 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150126001082 | GA | Part a Provider - Hospice | 5698099513 | Practice locations: Hinesville, GA; Jesup, GA |
National Provider Directory
Locations
481 E G Miles Pkwy
Ste D
Hinesville, GA 31313
141 S Macon St
Jesup, GA 31545
Phone (912) 427-3202
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
141 S Macon St
Jesup, GA 31545-1114
Mailing address
187 N Church St Ste 201
Spartanburg, SC 29306-5154
Phone (800) 932-2738
Other names
- GHC Hospice
- Geogia Hospice Care
Other providers in Jesup, GA
- Courtney Denise Gay
- Genesis DME, Inc.
- Gentle Hands Corperation
- Georgia CVS Pharmacy LLC
- Georgia Eye Institute of the Southeast, LLC
- Golden Isles Family Practice
- Ashtyn Lynn Goode
- Remeshia D Grant
- Daniel Joseph Green
- Brian Thomas Grisez
All providers in Jesup, GA · Community Based Hospice Care Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.