Altus Hospice of Georgia LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ALTUS HOSPICE OF GEORGIA LLC

Practice address

5411 Northland Dr
2ND Floor
Atlanta, GA 30342-2061

Phone

(770) 730-8405

Fax

(770) 730-8408

NPI assigned

Nov 6, 2011

Organization subpart

No

Name

Donald D. Stelly

Title

President

Phone

(337) 233-1307

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Altus Hospice of Georgia, LLC

  • Community Based Hospice Care Agency
  • Villa Rica, GA
  • NPI 1609115567

  O20120621000627

  Same enrollment

Organizations this organization is a member of, according to the National Provider Directory.

• Altus Hospice of Georgia, LLC

  • Community Based Hospice Care Agency
  • Villa Rica, GA
  • NPI 1609115567

  Member Of

  NPD member

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

• Eugene Harris

  • Emergency Medicine Physician
  • Norwich, CT
  • NPI 1235344367

  Hospice

  Care Compare affiliation

Listed as

Heart of Hospice West AtlantaCCN 111700

Ownership

For-Profit

Certified

Jul 12, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Hospice certification: CCN 111700

Legal name

ALTUS HOSPICE OF GEORGIA LLC

Doing business as

HEART OF HOSPICE WEST ATLANTA

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 12, 2010

Last certification

Apr 27, 2022

Ownership / control type

Other

Organization structure

LLCProprietary

Enrollment address

1 Community Square Blvd
Ste 302
Villa Rica, GA 30180-1747

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

• Halcyon Hospice Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 1, 2016.

{
    "created_epoch": "1320537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1972880896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 NORTHLAND DR",
            "address_2": "2ND FLOOR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422061",
            "telephone_number": "770-730-8405",
            "fax_number": "770-730-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTUS HOSPICE OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-06",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "STELLY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "777588136A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halcyon Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Husnu Firat Altin
• Emily M Altman, MD
• Altruistic Mobility Transportation
• Altruistic Transportation
• Ellen Altschuler
• Boluwatife Aluko, MD
• Olayinka O Aluko, BCBA
• Ebtisam Mohammed Alumin Osman, M.D
• Alva S McGovern LCSW Inc
• Saba Alvand

• All providers in Atlanta, GA
• 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 1, 2016; 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.