BRISTOL HOSPICE-GEORGIA LLC (NPI# 1558663872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558663872 |
Entity Type | Organization |
Organization Name | BRISTOL HOSPICE-GEORGIA LLC |
Practice Address |
2849 Paces Ferry Rd Se Atlanta GA 30339-6201 |
Mailing Address |
206 N 2100 W Ste 200 Salt Lake City UT 84116-4741 |
Practice Telephone | 7043495307 |
Practice Fax Number | 7704349529 |
Mailing Telephone | 8013250175 |
Mailing Fax Number | 8014783588 |
Enumeration Date | 2010-11-18 |
Last Update Date | 2020-06-26 |
Authorized Official Name | HYRUM KIRTON (PRESIDENT/CEO) |
Authorized Official Telephone | 8013250175 |
Is Organization Subpart | Y |
Parent Organization Name | BRISTOL HOSPICE, L.L.C. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 003119387A | 05 |
Street Address |
2849 PACES FERRY RD SE |
City | ATLANTA |
State | GA |
Zip Code | 30339-6201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
1013499821 | Deonna Pennamon | Specialist/Technologist | 5625 Suffex Green Lane, Atlanta, GA 30339 | 2018-08-29 |
1205326915 | Matthew Buyert | Counselor | 1827 Powers Ferry Rd Se Ste 22, Atlanta, GA 30339 | 2018-05-17 |
1760991632 | Horizons Unlimited Professional Services Inc. | Community/Behavioral Health | 1755 The Exchange Se Ste 190, Atlanta, GA 30339 | 2017-09-23 |
1932624418 | Kheder Basheer | Student in an Organized Health Care Education/Training Program | 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 | 2017-08-07 |
1417486820 | Ashley Drake | Counselor | 4695 N Church Ln Se Apt 10306, Atlanta, GA 30339 | 2017-06-08 |
1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
Find all providers in zip 30339 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932730165 | Elite Healthcare Group. LLC | Hospice Care, Community Based | 56 Perimeter Ctr E Ste 150.00, Atlanta, GA 30346-2296 | 2020-01-27 |
1033769518 | Ladahma Health Systems LLC | Hospice Care, Community Based | 1755 The Exchange Se Ste 360d, Atlanta, GA 30339-7404 | 2019-09-16 |
1194372995 | Olive Branch Hospice LLC | Hospice Care, Community Based | 2302 Parklake Dr Ne Ste 143, Atlanta, GA 30345-2896 | 2019-08-26 |
1013563824 | Arms of Love Tele-health, LLC | Hospice Care, Community Based | 1201 W Peachtree St Nw Ste 2311, Atlanta, GA 30309-3449 | 2019-08-16 |
1942662911 | Airis Healthcare | Hospice Care, Community Based | 1455 Elva Dr Sw, Atlanta, GA 30331-7327 | 2016-03-28 |
1275957060 | Elite Healthcare Enterprises, Inc. | Hospice Care, Community Based | 92 W Paces Ferry Rd Nw, Atlanta, GA 30305-1351 | 2014-02-13 |
1386087021 | Ace Health Services, LLC | Hospice Care, Community Based | 996 Washita Ave Ne, Atlanta, GA 30307-1463 | 2013-04-11 |
1972880896 | Altus Hospice of Georgia LLC | Hospice Care, Community Based | 5411 Northland Dr, 2nd Floor, Atlanta, GA 30342-2061 | 2011-11-06 |
1427206960 | Longleaf Hospice, LLC | Hospice Care, Community Based | 2310 Parklake Dr Ne Ste 325, Atlanta, GA 30345-2915 | 2008-09-08 |
1558589663 | Trinity Hospice of Georgia, LLC | Hospice Care, Community Based | 41 Perimeter Ctr E, Suite 200, Atlanta, GA 30346-1910 | 2007-04-23 |
Find all providers in ATLANTA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.