Regency Hospice Of Northeast Georgia

LBN: Regency Hospice Of Georgia, Llc
Regency Hospice Of Northeast Georgia is an health care organization with primary practice located at 4255 Wade Green Rd Nw Ste 210, Kennesaw GA 30144-1762. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Regency Hospice Of Georgia, Llc can be contacted via phone (770) 382-7175, or through Kleberg, Jessica via phone (704) 664-2876.

Contact Information

Primary practice address
4255 Wade Green Rd Nw Ste 210 Kennesaw GA 30144-1762
Phone: (770) 382-7175
Fax: (770) 382-4927
Website:
Map and Directions
Authorized official contact:
Name: Kleberg, Jessica
Phone: (704) 664-2876

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 008-191-H Georgia

Profile Details

NPI number 1073561130
LBN Legal business name Regency Hospice Of Georgia, Llc
DBA Doing business as Regency Hospice Of Northeast Georgia
Authorized official Kleberg, Jessica
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated May 16th, 2016 - about 8 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 1073561130 NPPES
Georgia MEDICAID 000457509A

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