AFFINIS HOSPICE LLC NPI 1447536529

NPI Information

NPI: 1447536529
Provider Name: AFFINIS HOSPICE, LLC

Doing Business As: AFFINIS HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 11D2080980

Address:
1365 INTERSTATE PKWY
AUGUSTA, GA
ZIP 30909
Phone: (706) 434-0421
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AFFINIS HOSPICE, LLC is a hospice care community based in Augusta, GA. AFFINIS HOSPICE, LLC NPI is 1447536529. The provider is registered as an organization entity type.
The provider Is Doing Business As Affinis Hospice.

The provider's business location address is:

1365 INTERSTATE PKWY
AUGUSTA, GA
ZIP 30909-626
Phone: (706) 434-0421
Fax: (706) 434-0427

The provider's authorized official is Sarah A Thompson .
The authorized official title is Vp Of Operations and has the following contact phone number (912) 538-8000.

The CLIA number assigned to this NPI record is 11D2080980 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2011 and was last updated on 11/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003156445A	MEDICAID	GEORGIA
2	121-0401-H	OTHER	GEORGIA	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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