Community Hospice
LBN: Southern Community Hospice, Inc.
Community Hospice is an health care organization with primary practice located at 904 Mount Vernon Rd , Vidalia GA 30474-3030. The organization recently has 2 registered licenses in different health care specialties including Agencies / Hospice Care, Community Based, Nursing & Custodial Care Facilities / Hospice, Inpatient. Agencies / Hospice Care, Community Based is the primary health care specialty.
Southern Community Hospice, Inc. can be contacted via phone (912) 537-0063, or through Peterson, Tammy T via phone (478) 374-6662.
Contact Information
Primary practice address
904 Mount Vernon Rd
Vidalia GA 30474-3030
Phone: (912) 537-0063
Fax: (912) 537-2005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Hospice Care, Community Based | 251G00000X | 138135H | Georgia |
| Nursing & Custodial Care Facilities / Hospice, Inpatient | 315D00000X | 138135H | Georgia |
Profile Details
| NPI number | 1497832844 |
|---|---|
| LBN Legal business name | Southern Community Hospice, Inc. |
| DBA Doing business as | Community Hospice |
| Authorized official | Peterson, Tammy T |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | May 6th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497832844 | NPPES |
| Georgia | MEDICAID | 000851133A |
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