APPALACHIAN HOSPICE SOUTH LLC NPI 1063193738

NPI Information

  • NPI: 1063193738
  • Provider Name: APPALACHIAN HOSPICE SOUTH LLC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • CLIA Number: 11D2288607
  • Address: 12 SAMMY MCGHEE BLVD STE 202
    JASPER, GA
    ZIP 30143
  • Phone: (706) 253-4015

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NPI Details

APPALACHIAN HOSPICE SOUTH LLC is a hospice care community based in Jasper, GA. APPALACHIAN HOSPICE SOUTH LLC NPI is 1063193738. The provider is registered as an organization entity type.

The provider's business location address is:

12 SAMMY MCGHEE BLVD STE 202
JASPER, GA
ZIP 30143-712
Phone: (706) 253-4015
Fax: (706) 253-4021

The provider's authorized official is Gary W Rasmussen .
The authorized official title is President and has the following contact phone number (770) 331-4354.

The CLIA number assigned to this NPI record is 11D2288607 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2023 and was last updated on 7/26/2023.

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
1251G00000XHospice Care, Community BasedYes

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: 3/30/2025

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