AT HOME HEALTHCARE AND HOSPICE LLC (NPI# 1104031863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104031863 |
| Entity Type | Organization |
| Organization Name | AT HOME HEALTHCARE AND HOSPICE LLC |
| Other Organization Name | REGENCY SOUTHERNCARE - METRO ATLANTA |
| Practice Address |
1051 Culpepper Dr Sw # 100 Conyers GA 30094-5986 |
| Mailing Address |
655 Brawley School Rd Ste 200 Mooresville NC 28117-9125 |
| Practice Telephone | 6784131360 |
| Practice Fax Number | 6784131359 |
| Mailing Telephone | (704) 664-2876 |
| Mailing Fax Number | 7046641306 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | JESSICA KLEBERG (VP LEGAL AFFAIRS) |
| Authorized Official Telephone | 7046642876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 031-0292-H | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 972200610A | 05 |
| Other Name | Type Code |
|---|---|
| Regency SouthernCare - Metro Atlanta | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1051 Culpepper Dr Sw, Ste 100, Conyers, GA 300945986 | 6784131360 | 6784131359 |
| Street Address |
1051 CULPEPPER DR SW # 100 |
| City | CONYERS |
| State | GA |
| Zip Code | 30094-5986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| Find all providers in zip 30094 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242026 | Champions Nursing Services, LLC | Hospice Care, Community Based | 2365 Wall St Se Ste 210, Conyers, GA 30013-2197 | 2020-07-07 |
| 1295366557 | Still Waters Healthcare, LLC | Hospice Care, Community Based | 2890 Georgia Highway 212 Sw Ste A-303, Conyers, GA 30094-3363 | 2020-01-27 |
| 1598203358 | Innovative Nursing Solutions and Hospice Care LLC | Hospice Care, Community Based | 1818 Lakefield Ct Se Ste B, Conyers, GA 30013-6610 | 2017-02-01 |
| 1811308943 | Hospice Nurses of Georgia, LLC | Hospice Care, Community Based | 2385 Wall Street Se, Suite 119, Conyers, GA 30013 | 2014-05-12 |
| 1144461997 | Medi Caregivers, Inc | Hospice Care, Community Based | 1172 Old Salem Rd Se, Conyers, GA 30094-5944 | 2009-03-08 |
| 1649342536 | Serenity Palliative and Hospice Care | Hospice Care, Community Based | 1475 Klondike Rd Sw, Ste 100, Conyers, GA 30094-5174 | 2006-11-15 |
| 1588625925 | Hillcrest Hospice, Inc | Hospice Care, Community Based | 1374 Manchester Dr Ne, Conyers, GA 30012-3881 | 2006-03-28 |
| 1801493937 | Champion Nursing Services, Inc | Hospice Care, Community Based | 2365 Wall St Se Ste 210, Conyers, GA 30013-2197 | 2020-10-01 |
| 1396169074 | Magnolia Hospice, LLC | Hospice Care, Community Based | 1374 Manchester Dr Ne, Conyers, GA 30012-3881 | 2014-02-14 |
| 1619093788 | Serenity Health Care and Hospice | Hospice Care, Community Based | 1380 Milstead Ave Ne, Suite H, Conyers, GA 30012-3864 | 2007-03-21 |
| Find all providers in CONYERS | ||||
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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.