Organization Active NPI

Hospice of Laurens County, Inc

  • Community Based Hospice Care Agency
  • Dublin, GA
National Provider Identifier
1871625517
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
087061 Issued in GA
Legal business name
HOSPICE OF LAURENS COUNTY, INC
Practice address
205 N Franklin St
Dublin, GA 31021-6709
Phone
(478) 272-8333
NPI assigned
Mar 9, 2007
Last updated
Apr 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Ms. Kaye C Bracewell
Title
Executive Director
Phone
(478) 272-8333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 087061 GA Primary

Addresses

Primary practice location

205 N Franklin St
Dublin, GA 31021-6709

Mailing address

205 N Franklin St
Dublin, GA 31021-6709
Phone (478) 272-8333

Other identifiers 1

IdentifierTypeStateIssuer
000519846AMedicaidGA

National Provider Directory

National Provider Directory

Locations

205 N Franklin St
Dublin, GA 31021
Phone (478) 272-8333

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1871625517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N FRANKLIN ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310216709",
            "telephone_number": "478-272-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N FRANKLIN ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310216709",
            "telephone_number": "478-272-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF LAURENS COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "BRACEWELL",
        "authorized_official_first_name": "KAYE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "478-272-8333",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "087061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000519846A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.