LAGRANGE TROUP COUNTY HOSPITAL AUTHORITY (NPI# 1174597298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174597298 |
| Entity Type | Organization |
| Organization Name | LAGRANGE TROUP COUNTY HOSPITAL AUTHORITY |
| Other Organization Name | WEST GEORGIA HOSPICE |
| Practice Address |
1510 Vernon Rd Lagrange GA 30240-4131 |
| Mailing Address |
1514 Vernon Rd Lagrange GA 30240-4131 |
| Practice Telephone | 7068453905 |
| Practice Fax Number | 7068453902 |
| Mailing Telephone | 7068453905 |
| Mailing Fax Number | 7068453902 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-10-31 |
| Authorized Official Name | MR. GERALD N FULKS (PRESIDENT CEO) |
| Authorized Official Telephone | 7068453244 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315D00000X | Hospice, Inpatient | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00371896A | 05 |
| Other Name | Type Code |
|---|---|
| West Georgia Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720052863 | Lagrange Troup County Hospital Authority | Home Health | 120 Glenn Bass Rd, Lagrange, GA 30240-5809 | 2006-02-15 |
| 1770557340 | Lagrange Troup County Hospital Authority | Clinic/Center | 140 Glenn Bass Road, Lagrange, GA 30240-5809 | 2006-02-13 |
| 1346214996 | Lagrange Troup County Hospital Authority | Skilled Nursing Facility | 1400 Hogansville Rd, Lagrange, GA 30241-1422 | 2006-02-13 |
| 1811961659 | Lagrange Troup County Hospital Authority | Skilled Nursing Facility | 200 Medical Dr, Florence Hand Home, Lagrange, GA 30240-4153 | 2006-02-16 |
| 1992779748 | Lagrange Troup County Hospital Authority | General Acute Care Hospital | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2006-02-16 |
| 1679547921 | Lagrange Troup County Hospital Authority | Durable Medical Equipment & Medical Supplies | 1514 Vernon Rd, Lagrange, GA 30240-4131 | 2006-02-14 |
| Street Address |
1510 VERNON RD |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649403973 | West Georgia Medical Center, Inc. | Hospice, Inpatient | 1510 Vernon Rd, Lagrange, GA 30240-4131 | 2009-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| Find all providers in zip 30240 | ||||
| Taxonomy Code | 315D00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Hospice, Inpatient |
| A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
| Notes: Source: AHA Guide, American Hospital Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649403973 | West Georgia Medical Center, Inc. | Hospice, Inpatient | 1510 Vernon Rd, Lagrange, GA 30240-4131 | 2009-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800901 | Reliant Haven Healthcare | Hospice, Inpatient | 5721 Suffex Green Ln, Atlanta, GA 30339-6117 | 2020-08-04 |
| 1912489741 | Sacred Journey Hospice, Inc. | Hospice, Inpatient | 4165 Old Milton Pkwy Ste 200, Alpharetta, GA 30005-4478 | 2018-08-29 |
| 1427548676 | Sacred Journey Hospice, Inc. | Hospice, Inpatient | 60 Oak Hill Blvd Ste 203, Newnan, GA 30265-2314 | 2018-05-14 |
| 1811448319 | Butterfly Gardens Hospice & Palliative Care | Hospice, Inpatient | 3112 Blackmon Court, Hephzibah, GA 30815 | 2016-10-19 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1104221209 | Arcadia Hospice, LLC | Hospice, Inpatient | 119 Canal St Ste 103, Pooler, GA 31322 | 2014-10-31 |
| 1306276498 | Mt Berry Hospice Inc. | Hospice, Inpatient | 4300 Martha Berry Hwy Ne, Rome, GA 30165-8642 | 2013-11-26 |
| 1467746875 | Healing Hands | Hospice, Inpatient | 2667 C St, Macon, GA 31206-8307 | 2011-06-02 |
| 1982882114 | Serenity Hospice Care LLC | Hospice, Inpatient | 1057 N Houston Rd, Warner Robins, GA 31093-1563 | 2008-02-11 |
| 1518088038 | St. David Hospice | Hospice, Inpatient | 6101 Brixworth Pl Ne, Atlanta, GA 30319-5327 | 2007-04-02 |
| Find all providers with the same taxonomy | ||||
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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.