ANGEL HEART HOSPICE LLC NPI 1700402443

NPI Information

  • NPI: 1700402443
  • Provider Name: ANGEL HEART HOSPICE, LLC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • Doing Business As: FAMILY HOSPICE
  • CLIA Number: 11D2195353
  • Address: 1225 JOHNSON FERRY RD STE 855
    MARIETTA, GA
    ZIP 30068
  • Phone: (423) 541-1993

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NPI Details

ANGEL HEART HOSPICE, LLC is a hospice care community based in Marietta, GA. ANGEL HEART HOSPICE, LLC NPI is 1700402443. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Hospice.

The provider's business location address is:

1225 JOHNSON FERRY RD STE 855
MARIETTA, GA
ZIP 30068-774
Phone: (423) 541-1993
Fax: (423) 553-1829

The provider's authorized official is Robin Stanton .
The authorized official title is Cfo and has the following contact phone number (706) 419-9200.

The CLIA number assigned to this NPI record is 11D2195353 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2020 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
1251G00000XHospice Care, Community BasedYes

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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