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HANDS OF GRACE HOSPICE LLC NPI 1073028171


NPI Information

NPI: 1073028171
Provider Name: HANDS OF GRACE HOSPICE, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 11D2153084

Address:
119 DAVIS RD STE 11AB
AUGUSTA, GA
ZIP 30907
Phone: (706) 229-8786
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HANDS OF GRACE HOSPICE, LLC is a hospice care community based in Augusta, GA. HANDS OF GRACE HOSPICE, LLC NPI is 1073028171. The provider is registered as an organization entity type.

The provider's business location address is:

119 DAVIS RD STE 11AB
AUGUSTA, GA
ZIP 30907-200
Phone: (706) 229-8786

The provider's authorized official is Karrie Senn .
The authorized official title is Executive Director and has the following contact phone number (706) 287-2788.

The CLIA number assigned to this NPI record is 11D2153084 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2017 and was last updated on 2/13/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedNo
2251G00000XHospice Care, Community BasedGEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1690MEDICAIDGEORGIA
2036-0457-HOTHERGEORGIAHOSPICE STATE PERMIT CERTIFICATION

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.