Providence Hospice, Inc.

LBN: Providence Hospice, Inc.
Providence Hospice, Inc. is an health care organization with primary practice located at 100 Corporate Center Drive Lower Level, Stockbridge GA 30281-7244. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Providence Hospice, Inc. can be contacted via phone (678) 284-9385, or through Ash, Ian K. via phone (404) 644-5134.

Contact Information

Primary practice address
100 Corporate Center Drive Lower Level Stockbridge GA 30281-7244
Phone: (678) 284-9385
Fax: (678) 284-9391
Website:
Map and Directions
Authorized official contact:
Name: Ash, Ian K.
Phone: (404) 644-5134

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 075-0253-H Georgia

Profile Details

NPI number 1720150212
LBN Legal business name Providence Hospice, Inc.
DBA Doing business as
Authorized official Ash, Ian K.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Dec 3rd, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720150212 NPPES
Georgia MEDICAID 015893264A

Popular Providers