AFFINIS HOSPICE, LLC (NPI# 1568857506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568857506 |
| Entity Type | Organization |
| Organization Name | AFFINIS HOSPICE, LLC |
| Other Organization Name | AFFINIS HOSPICE |
| Practice Address |
130 Canal St Suite 102 & 103 Pooler GA 31322-4085 |
| Mailing Address |
806 Maple Dr Vidalia GA 30474-7208 |
| Practice Telephone | 9127486000 |
| Practice Fax Number | 9127486870 |
| Mailing Telephone | 9125388000 |
| Mailing Fax Number | 9125380467 |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2017-02-22 |
| Authorized Official Name | MRS. SARAH A THOMPSON (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 9125388000 |
| Authorized Official Credential | RN, CHPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003172515A | 05 |
| Other Name | Type Code |
|---|---|
| Affinis Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447813266 | Affinis Hospice, LLC | Hospice Care, Community Based | 2320 Double Churches Rd Ste A, Columbus, GA 31909-2662 | 2019-04-17 |
| 1174005292 | Affinis Hospice, LLC | Hospice Care, Community Based | 25 Merritt St, Hawkinsville, GA 31036-4706 | 2018-09-05 |
| 1477034361 | Affinis Hospice, LLC | Hospice Care, Community Based | 2402 Tift Ave N Ste 201, Tifton, GA 31794-1885 | 2018-08-28 |
| 1740656180 | Affinis Hospice, LLC | Hospice Care, Community Based | 248 Ne Broad St, Jesup, GA 31546-4371 | 2015-08-20 |
| 1013288299 | Affinis Hospice, LLC | Hospice Care, Community Based | 21 Highland Dr, Newnan, GA 30265-1738 | 2012-01-20 |
| 1326515719 | Affinis Hospice, LLC | Hospice Care, Community Based | 110 Stone Brooke Dr, Gray, GA 31032-5865 | 2018-10-24 |
| 1780011528 | Affinis Hospice, LLC | Hospice Care, Community Based | 806 Maple Dr, Vidalia, GA 30474-7208 | 2013-10-10 |
| 1942634746 | Affinis Hospice, LLC | Hospice Care, Community Based | 1612 Mars Hill Rd, Suite A, Watkinsville, GA 30677-4889 | 2013-08-28 |
| 1447536529 | Affinis Hospice, LLC | Hospice Care, Community Based | 1365 Interstate Pkwy, Augusta, GA 30909-5626 | 2011-11-02 |
| 1184904435 | Affinis Hospice, LLC | Hospice Care, Community Based | 2565 Thompson Bridge Rd, Suite 201, Gainesville, GA 30501-1723 | 2011-08-18 |
| Street Address |
130 CANAL ST SUITE 102 & 103 |
| City | POOLER |
| State | GA |
| Zip Code | 31322-4085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255419446 | Alexander Bannout | Dentist | 130 Canal St, Suite 204, Pooler, GA 31322-4085 | 2006-11-02 |
| 1821451709 | Danielle Carter | Behavioral Analyst | 130 Canal St, Suite 403, Pooler, GA 31322-4085 | 2016-03-30 |
| 1780934893 | Randall Crum Inc. | Clinic/Center | 130 Canal St, Ste. 601, Pooler, GA 31322-4085 | 2012-09-17 |
| 1316204498 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 130 Canal St, Suite 601, Pooler, GA 31322-4085 | 2012-04-13 |
| 1619249042 | Costrini & Meadows, PC | Internal Medicine | 130 Canal St, Suite 601, Pooler, GA 31322-4085 | 2012-02-01 |
| 1053606798 | Jaime Melinda Watkins-gillham | Behavioral Analyst | 130 Canal St, Building 400, Pooler, GA 31322-4085 | 2011-06-10 |
| 1982917522 | Alexander Bannout Dds, PC | Dentist | 130 Canal St, Suite 204, Pooler, GA 31322-4085 | 2010-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427518745 | Quinate Pharmacy LLC | Pharmacy | 1557 Pooler Pkwy, Suite 400, Pooler, GA 31322 | 2019-03-22 |
| 1396202495 | Rucker Holdings | Durable Medical Equipment & Medical Supplies | 210 Grand Central Blvd, Pooler, GA 31322 | 2019-02-25 |
| 1306301841 | Altamaha Dme, Inc | Durable Medical Equipment & Medical Supplies | 1557 Pooler Parkway, Suite 300, Pooler, GA 31322 | 2019-02-08 |
| 1750859351 | Bombery Chiropractic LLC | Chiropractor | 122 Canal St. Ste 109, Pooler, GA 31322 | 2018-11-13 |
| 1407347891 | Georgia Dental Professionals, PC | Dentist | 2140 Pooler Pkwy, Pooler, GA 31322 | 2018-05-22 |
| 1730685439 | Monali Patel | Optometrist | 276 Pooler Pkwy Ste B, Pooler, GA 31322 | 2018-04-02 |
| 1144747023 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 101 Blue Moon Crossing, Pooler, GA 31322 | 2017-08-23 |
| 1063932408 | The Range Physical Therapy, LLC | Clinic/Center | 10801 County Line Rd, Madison, AL 31322 | 2017-06-27 |
| 1285154427 | Pooler Physical Therapy LLC | Clinic/Center | 101 Shepherd Way, Pooler, GA 31322 | 2017-06-20 |
| 1578009130 | Georgia Cvs Pharmacy L.l.c | Durable Medical Equipment & Medical Supplies | 500 Pooler Pkwy, Pooler, GA 31322 | 2017-01-06 |
| Find all providers in zip 31322 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489131 | Lhcg Clviii, LLC | Hospice Care, Community Based | 119 Canal St Ste 103, Pooler, GA 31322-4094 | 2020-02-21 |
| 1720231343 | Compassionate Care Hospice of Savannah, LLC | Hospice Care, Community Based | 138 Canal St, Suite 304, Pooler, GA 31322-4051 | 2008-10-28 |
| 1285766485 | Ihc Hospice, Inc. | Hospice Care, Community Based | 1000 Towne Center Blvd, Suite 303, Pooler, GA 31322-4052 | 2007-03-12 |
| 1417902719 | Vistacare Usa, Inc. | Hospice Care, Community Based | 1000 Towne Center Blvd, Suite 604, Pooler, GA 31322-4052 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153492 | Legacy Hospice Ga | Hospice Care, Community Based | 1700 Frederica Rd Ste 205, St Simons Island, GA 31522-2583 | 2020-10-28 |
| 1013515030 | Perimeter Hospice of Georgia | Hospice Care, Community Based | 150 Stanley Ct Ste E, Lawrenceville, GA 30046-5215 | 2020-10-12 |
| 1780291039 | Goldencare Hospice and Palliative Care | Hospice Care, Community Based | 7555 Bridgegate Ct, Sandy Springs, GA 30350-4604 | 2020-09-29 |
| 1255947651 | Community Hospice of Georgia | Hospice Care, Community Based | 321 N Main St Ste A, Adairsville, GA 30103-2403 | 2020-09-21 |
| 1437762382 | Allaway Angels | Hospice Care, Community Based | 805 Deerfield Ct, Stone Mountain, GA 30087-5483 | 2020-08-28 |
| 1144832494 | Circle of Hope Hospice | Hospice Care, Community Based | 5750 Brook Hollow Pkwy Ste 105, Norcross, GA 30071-3515 | 2020-08-18 |
| 1518578335 | Jaslinks Hospice Inc | Hospice Care, Community Based | 2282 Meadow Church Rd Ste 300, Duluth, GA 30097-5318 | 2020-08-14 |
| 1104434570 | An Angels Touch Hospice LLC | Hospice Care, Community Based | 2345 4th St Ste 600d, Tucker, GA 30084-8518 | 2020-07-21 |
| 1609494327 | Divine Guardian LLC | Hospice Care, Community Based | 2321 4th St Ste 210, Tucker, GA 30084-8516 | 2020-07-09 |
| 1184242026 | Champions Nursing Services, LLC | Hospice Care, Community Based | 2365 Wall St Se Ste 210, Conyers, GA 30013-2197 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
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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.