ADVENTA HOSPICE LLC NPI 1427173699

NPI Information

NPI: 1427173699
Provider Name: ADVENTA HOSPICE, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Doing Business As: AMEDISYS HOSPICE OF LAWRENCEVILLE
CLIA Number: 11D1066787
Address: 595 HURRICANE SHOALS RD NW
SUITE 200
LAWRENCEVILLE, GA
ZIP 30046
Phone: (678) 442-7338

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NPI Details

ADVENTA HOSPICE, LLC is a hospice care community based in Lawrenceville, GA. ADVENTA HOSPICE, LLC NPI is 1427173699. The provider is registered as an organization entity type.
The provider Is Doing Business As Amedisys Hospice Of Lawrenceville.

The provider's business location address is:

595 HURRICANE SHOALS RD NW
SUITE 200
LAWRENCEVILLE, GA
ZIP 30046-761
Phone: (678) 442-7338
Fax: (678) 442-7410

The provider's authorized official is Paul B Kusserow .
The authorized official title is President and has the following contact phone number (225) 292-2031.

The CLIA number assigned to this NPI record is 11D1066787 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 10/3/2016.

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			GEORGIA	No
2	251G00000X	Hospice Care, Community Based		067-0294-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	Other Provider Identifier Issuer
1	000921962C	MEDICAID	GEORGIA
2	111665	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: 11/21/2025

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