HANDS OF GRACE HOSPICE, LLC (NPI# 1073028171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073028171 |
| Entity Type | Organization |
| Organization Name | HANDS OF GRACE HOSPICE, LLC |
| Practice Address |
119 Davis Rd Ste 6a Augusta GA 30907-0223 |
| Practice Telephone | 7062298786 |
| Mailing Telephone | 7062298786 |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2020-06-17 |
| Authorized Official Name | DAWN STORY LEWIS (CEO, EXECUTIVE DIRECTOR, OWNER) |
| Authorized Official Telephone | 7062298786 |
| Authorized Official Credential | RN-BC, CHPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 690 | 05 | |
| GA | HOSPICE STATE PERMIT CERTIFICATION | 036-0457-H | 01 |
| Street Address |
119 DAVIS RD STE 6A |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30907-0223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
| 1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
| 1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
| 1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
| 1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
| 1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
| 1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
| Find all providers in zip 30907 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013402353 | Hospice Services of Ga, LLC | Hospice Care, Community Based | 3540 Wheeler Rd Ste 110, Augusta, GA 30909-1872 | 2018-06-28 |
| 1114396173 | Augusta Home Care Services, LLC | Hospice Care, Community Based | 1212 Augusta West Pkwy Ste 2b, Augusta, GA 30909-1808 | 2015-09-21 |
| 1144600875 | Southeast Hospice, LLC | Hospice Care, Community Based | 1203 George C. Wilson Drive Suite A, Augusta, GA 30909-4502 | 2015-06-08 |
| 1639507809 | Professional Hospice and Palliative Care,llc | Hospice Care, Community Based | 2917 Professional Pkwy Ste B, Augusta, GA 30907-3589 | 2013-10-24 |
| 1447590336 | Professional Hospice & Palliative Care | Hospice Care, Community Based | 2917 Professional Pkwy, Suite B, Augusta, GA 30907-3581 | 2013-03-01 |
| 1447531074 | Caresouth Hospice, LLC | Hospice Care, Community Based | 4128 Madeline Drive, Suite B, Augusta, GA 30909-9114 | 2011-09-09 |
| 1164725834 | Preferred Hospice, LLC | Hospice Care, Community Based | 3531 Walton Way Ext, Suite C, Augusta, GA 30909-1821 | 2010-12-17 |
| 1275836082 | St. Joseph Hospice, LLC | Hospice Care, Community Based | 1220 George C. Wilson Dr., Suite B, Augusta, GA 30909-4501 | 2010-12-16 |
| 1235270505 | Odyssey Healthcare of Augusta, LLC | Hospice Care, Community Based | 3508 Professional Circle, Suite A, Augusta, GA 30907-8232 | 2007-02-09 |
| 1043303753 | Alliance Hospice LLC | Hospice Care, Community Based | 3685 Old Petersburg Road, Suite 145, River Plantation Professional Offices, Augusta, GA 30907-0828 | 2006-10-02 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.