Halcyon Hospice

LBN: Grace Hospice, Llc
Halcyon Hospice is an health care organization with primary practice located at 515 N Saint Augustine Rd Ste D , Valdosta GA 31601-8472. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Grace Hospice, Llc can be contacted via phone (229) 333-5005, or through Stelly, Donald D. via phone (337) 233-1307.

Contact Information

Primary practice address
515 N Saint Augustine Rd Ste D Valdosta GA 31601-8472
Phone: (229) 333-5005
Fax: (229) 333-5007
Website:
Map and Directions
Authorized official contact:
Name: Stelly, Donald D.
Phone: (337) 233-1307

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 092236H Georgia

Profile Details

NPI number 1598838468
LBN Legal business name Grace Hospice, Llc
DBA Doing business as Halcyon Hospice
Authorized official Stelly, Donald D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2006
Last updated Jun 14th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598838468 NPPES
Georgia MEDICAID 819131826A

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