Provider Type Icon

HOMESTEAD HOSPICE OF BLAIRSVILLE LLC NPI 1609278522


NPI Information

NPI: 1609278522
Provider Name: HOMESTEAD HOSPICE OF BLAIRSVILLE, LLC

Doing Business As: TRADITIONS HEALTH

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

CLIA Number: 11D2087407

Address:
426 CLEVELAND ST STE 3
BLAIRSVILLE, GA
ZIP 30512
Phone: (706) 835-3960
Get Directions

HOMESTEAD HOSPICE OF BLAIRSVILLE, LLC is a hospice care community based in Blairsville, GA. HOMESTEAD HOSPICE OF BLAIRSVILLE, LLC NPI is 1609278522. The provider is registered as an organization entity type.
The provider Is Doing Business As Traditions Health.

The provider's business location address is:

426 CLEVELAND ST STE 3
BLAIRSVILLE, GA
ZIP 30512-543
Phone: (706) 835-3960

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 11D2087407 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2014 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedGEORGIAYes

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.