SOUTHERN COMMUNITY HOSPICE, INC. (NPI# 1497832844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497832844 |
| Entity Type | Organization |
| Organization Name | SOUTHERN COMMUNITY HOSPICE, INC. |
| Other Organization Name | COMMUNITY HOSPICE |
| Practice Address |
904 Mount Vernon Rd Vidalia GA 30474-3030 |
| Mailing Address |
Po Box 2277 Vidalia GA 30475-2277 |
| Practice Telephone | 9125370063 |
| Practice Fax Number | 9125372005 |
| Mailing Telephone | 9125370063 |
| Mailing Fax Number | 9125372005 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-10-29 |
| Authorized Official Name | MRS. VICKIE E. RYLES (PRESIDENT) |
| Authorized Official Telephone | 9125370063 |
| Authorized Official Credential | RN, CHPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 315D00000X | Hospice, Inpatient | 138135H | GA | Nursing & Custodial Care Facilities |
| Y | 251G00000X | Hospice Care, Community Based | 138135H | GA | Agencies |
| Other Name | Type Code |
|---|---|
| Community Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871775080 | Southern Community Hospice, Inc. | Hospice Care, Community Based | 203 Peterson Ave N, Douglas, GA 31533-3717 | 2007-11-29 |
| Street Address |
904 MOUNT VERNON RD |
| City | VIDALIA |
| State | GA |
| Zip Code | 30474-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730655374 | Abby Virginia Adams | Speech-Language Pathologist | 101 Harris Insustrial Blvd, Vidalia, GA 30474 | 2018-10-22 |
| 1467930156 | Laurel Shiver Sapp | Nurse Practitioner | 1608 Meadows Ln, Vidalia, GA 30474 | 2018-08-03 |
| 1235658931 | Mary Frances Andrews | Nurse Practitioner | 1608 Meadows Lane Suite 1, Vidalia, GA 30474 | 2017-09-13 |
| 1154714574 | Georgia Eye Institute of The Southeast, LLC | Optometrist | 104 Andrews Street, Suite 112, Vidalia, GA 30474 | 2015-03-10 |
| 1790112571 | Tattnall Hospital Company, LLC | Surgery | 1702-a Meadows Lane, Vidalia, GA 30474 | 2013-10-10 |
| 1801235312 | Paul Anderson Youth Home, Inc. | Substance Abuse Rehabilitation Facility | 1603 Mcintosh Street, Vidalia, GA 30474 | 2013-06-18 |
| 1043591076 | Kimberly Thigpen Evans | Nurse Practitioner | 621 East First Street, Unit B, Vidalia, GA 30474 | 2011-09-03 |
| 1154614360 | Tattnall Hospital Company, LLC | Family Medicine | 1811 Edwina Drive, Vidalia, GA 30474 | 2011-05-20 |
| 1255586053 | Vidalia Medical Partners Inc. | Home Health | 801 Mcnatt Street, Vidalia, GA 30474 | 2008-11-20 |
| 1154596419 | Jill Nicole Lawrence | Speech-Language Pathologist | 1400 Ne Main St, Bethany Alf, Vidalia, GA 30474 | 2008-04-28 |
| Find all providers in zip 30474 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922536382 | Georgia Palliative Care Inc. | Hospice Care, Community Based | 101 Mcintosh St, Vidalia, GA 30474-3106 | 2017-05-30 |
| 1811295603 | Camellia Hospice of East Louisiana, LLC | Hospice Care, Community Based | 1653 Carter St, Vidalia, LA 71373 | 2011-03-03 |
| 1336178532 | Hospice Help LLC | Hospice Care, Community Based | 3002 Carter St, Vidalia, LA 71373-3012 | 2006-07-01 |
| 1518904853 | Southerncare, Inc. | Hospice Care, Community Based | 2311 E 1st St, Suite B, Brice Square, Vidalia, GA 30474-8811 | 2006-06-02 |
| 1780011528 | Affinis Hospice, LLC | Hospice Care, Community Based | 806 Maple Dr, Vidalia, GA 30474-7208 | 2013-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153492 | Legacy Hospice Ga | Hospice Care, Community Based | 1700 Frederica Rd Ste 205, St Simons Island, GA 31522-2583 | 2020-10-28 |
| 1013515030 | Perimeter Hospice of Georgia | Hospice Care, Community Based | 150 Stanley Ct Ste E, Lawrenceville, GA 30046-5215 | 2020-10-12 |
| 1780291039 | Goldencare Hospice and Palliative Care | Hospice Care, Community Based | 7555 Bridgegate Ct, Sandy Springs, GA 30350-4604 | 2020-09-29 |
| 1255947651 | Community Hospice of Georgia | Hospice Care, Community Based | 321 N Main St Ste A, Adairsville, GA 30103-2403 | 2020-09-21 |
| 1437762382 | Allaway Angels | Hospice Care, Community Based | 805 Deerfield Ct, Stone Mountain, GA 30087-5483 | 2020-08-28 |
| 1144832494 | Circle of Hope Hospice | Hospice Care, Community Based | 5750 Brook Hollow Pkwy Ste 105, Norcross, GA 30071-3515 | 2020-08-18 |
| 1518578335 | Jaslinks Hospice Inc | Hospice Care, Community Based | 2282 Meadow Church Rd Ste 300, Duluth, GA 30097-5318 | 2020-08-14 |
| 1104434570 | An Angels Touch Hospice LLC | Hospice Care, Community Based | 2345 4th St Ste 600d, Tucker, GA 30084-8518 | 2020-07-21 |
| 1609494327 | Divine Guardian LLC | Hospice Care, Community Based | 2321 4th St Ste 210, Tucker, GA 30084-8516 | 2020-07-09 |
| 1184242026 | Champions Nursing Services, LLC | Hospice Care, Community Based | 2365 Wall St Se Ste 210, Conyers, GA 30013-2197 | 2020-07-07 |
| 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.