LIVING CARE HOSPICE LLC NPI 1427114768

NPI Information

NPI: 1427114768
Provider Name: LIVING CARE HOSPICE, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
215 S DUVAL ST
CLAXTON, GA
ZIP 30417
Phone: (912) 739-4990
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LIVING CARE HOSPICE, LLC is a hospice care community based in Claxton, GA. LIVING CARE HOSPICE, LLC NPI is 1427114768. The provider is registered as an organization entity type.

The provider's business location address is:

215 S DUVAL ST
CLAXTON, GA
ZIP 30417-031
Phone: (912) 739-4990
Fax: (912) 739-4933

The provider's authorized official is Kerrin Conklin .
The authorized official title is Owner /ceo and has the following contact phone number (912) 739-4990.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 12/6/2011.

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		132-168-H	GEORGIA	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
1	111595	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA
2	000927396A	MEDICAID	GEORGIA
3	111595	MEDICARE OSCAR/CERTIFICATION	GEORGIA

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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