ALTUS HOSPICE OF GEORGIA LLC (NPI# 1972880896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972880896 |
| Entity Type | Organization |
| Organization Name | ALTUS HOSPICE OF GEORGIA LLC |
| Other Organization Name | HALCYON HOSPICE |
| Practice Address |
5411 Northland Dr 2nd Floor Atlanta GA 30342-2061 |
| Mailing Address |
Po Box 51266 Lafayette LA 70505-1266 |
| Practice Telephone | 7707308405 |
| Practice Fax Number | 7707308408 |
| Mailing Telephone | 3372331307 |
| Mailing Fax Number | 3372335764 |
| Enumeration Date | 2011-11-06 |
| Last Update Date | 2016-06-01 |
| Authorized Official Name | DONALD D. STELLY (PRESIDENT) |
| Authorized Official Telephone | 3372331307 |
| 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 | 777588136A | 05 |
| Other Name | Type Code |
|---|---|
| Halcyon Hospice | Doing Business As Name - Organization |
| Street Address |
5411 NORTHLAND DR 2ND FLOOR |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-2061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| 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 |
| 1558663872 | Bristol Hospice-georgia LLC | Hospice Care, Community Based | 2849 Paces Ferry Rd Se, Atlanta, GA 30339-6201 | 2010-11-18 |
| 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.