HOMESTEAD HOSPICE OF CARTERSVILLE LLC NPI 1396074803

NPI Information

NPI: 1396074803
Provider Name: HOMESTEAD HOSPICE OF CARTERSVILLE, LLC

Doing Business As: TRADITIONS HEALTH

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

CLIA Number: 11D2004024

Address:
100 MARKET PLACE BLVD STE 301
CARTERSVILLE, GA
ZIP 30121
Phone: (678) 290-4817
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HOMESTEAD HOSPICE OF CARTERSVILLE, LLC is a hospice care community based in Cartersville, GA. HOMESTEAD HOSPICE OF CARTERSVILLE, LLC NPI is 1396074803. The provider is registered as an organization entity type.
The provider Is Doing Business As Traditions Health.

The provider's business location address is:

100 MARKET PLACE BLVD STE 301
CARTERSVILLE, GA
ZIP 30121-717
Phone: (678) 290-4817
Fax: (678) 290-4821

The provider's authorized official is David R Klementz .
The authorized official title is President & Ceo and has the following contact phone number (979) 704-6547.

The CLIA number assigned to this NPI record is 11D2004024 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2009 and was last updated on 9/12/2023.

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

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: 5/5/2024

NPI Synchronization or Removal

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