AGAPE HOSPICE OF NORTHEAST GEORGIA, INC.


Address: 137 N Broad St, Suite C, Winder, GA 30680-2152
Phone: 7705865103

AGAPE HOSPICE OF NORTHEAST GEORGIA, INC. (NPI# 1609023647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609023647
Entity Type Organization
Organization Name AGAPE HOSPICE OF NORTHEAST GEORGIA, INC.
Practice Address 137 N Broad St
Suite C
Winder
GA 30680-2152
Practice Telephone 7705865103
Practice Fax Number 7705865108
Mailing Telephone 7705865103
Mailing Fax Number 7705865108
Enumeration Date 2008-08-21
Last Update Date 2008-08-21
Authorized Official Name MR. G. SCOTT MIDDLETON (CEO/OWNER)
Authorized Official Telephone 8034540365
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based GA Agencies

Office Location

Street Address 137 N BROAD ST
SUITE C
City WINDER
State GA
Zip Code 30680-2152

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1871901090 Carol Lumpkin Nurse Practitioner 15 Porter St East, Winder, GA 30680 2014-07-31
1548501851 Jennifer Won Dentist 444 Atlanta Hwy Nw Ste 500, Winder, GA 30680 2013-03-12
1801041595 Joan Theresa James Obstetrics & Gynecology 137 W Athens St Ste 103, Winder, GA 30680 2008-11-21
1669636767 Lee Lindsey Bleshoy Nurse Practitioner 133 W Athens St Ste A, Winder, GA 30680 2008-07-17
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

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Competitor

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City WINDER
Zip Code 30680

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Dataset Information

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.

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