Georgia Community Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GEORGIA COMMUNITY HOSPICE LLC

Practice address

245 Country Club Dr BLDG 100C
Stockbridge, GA 30281-7216

Phone

(470) 268-8150

NPI assigned

Jan 25, 2021

Organization subpart

No

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

Authorized official

Name

Lillian Alvarez

Title

Manager

Phone

(470) 268-8150

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Hospice certification: CCN 851543

Legal name

GEORGIA COMMUNITY HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 12, 2021

Last certification

May 12, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Mar 9, 2020 in GA

Enrollment address

245 Country Club Dr
BLDG 100C
Stockbridge, GA 30281-7216

Listed as

Georgia Community HospiceCCN 851543

Ownership

For-Profit

Certified

May 12, 2021

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lilliam Alvarez Lane, NP

  • Nurse Practitioner
  • Oakwood, GA
  • NPI 1528601630
  NPD

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Darrell Lee Murray Sr., M.D.

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1447250170

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1902496722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 EAGLES LANDING PKWY # 842",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 COUNTRY CLUB DR BLDG 100C",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817216",
            "telephone_number": "470-268-8150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5750 Brook Hollow Pkwy Ste 106",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300713515",
            "country_code": "US",
            "telephone_number": "470-268-8150",
            "fax_number": "470-468-9038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEORGIA COMMUNITY HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "470-268-8150"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Community Based Hospice Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.

Verify at the official NPI Registry.