AFFINIS HOSPICE, LLC


Address: 806 Maple Dr, Vidalia, GA 30474-7208
Phone: 9125380465

AFFINIS HOSPICE, LLC (NPI# 1780011528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780011528
Entity Type Organization
Organization Name AFFINIS HOSPICE, LLC
Other Organization Name AFFINIS HOSPICE
Practice Address 806 Maple Dr
Vidalia
GA 30474-7208
Practice Telephone 9125380465
Practice Fax Number 9125380467
Mailing Telephone 9125388000
Mailing Fax Number 9125380467
Enumeration Date 2013-10-10
Last Update Date 2017-02-22
Authorized Official Name MRS. SARAH A THOMPSON (VP OF OPERATIONS)
Authorized Official Telephone 9125388000
Authorized Official Credential RN, CHPN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based Agencies

Other Provider Identifier

State Issuer Identifier Type Code
GA STATE LICENSE 138-0397-H 01
GA 003152699A 05

Other Provider/Organization Names

Other Name Type Code
Affinis Hospice Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1447813266 Affinis Hospice, LLC Hospice Care, Community Based 2320 Double Churches Rd Ste A, Columbus, GA 31909-2662 2019-04-17
1174005292 Affinis Hospice, LLC Hospice Care, Community Based 25 Merritt St, Hawkinsville, GA 31036-4706 2018-09-05
1477034361 Affinis Hospice, LLC Hospice Care, Community Based 2402 Tift Ave N Ste 201, Tifton, GA 31794-1885 2018-08-28
1740656180 Affinis Hospice, LLC Hospice Care, Community Based 248 Ne Broad St, Jesup, GA 31546-4371 2015-08-20
1013288299 Affinis Hospice, LLC Hospice Care, Community Based 21 Highland Dr, Newnan, GA 30265-1738 2012-01-20
1326515719 Affinis Hospice, LLC Hospice Care, Community Based 110 Stone Brooke Dr, Gray, GA 31032-5865 2018-10-24
1568857506 Affinis Hospice, LLC Hospice Care, Community Based 130 Canal St, Suite 102 & 103, Pooler, GA 31322-4085 2015-04-06
1942634746 Affinis Hospice, LLC Hospice Care, Community Based 1612 Mars Hill Rd, Suite A, Watkinsville, GA 30677-4889 2013-08-28
1447536529 Affinis Hospice, LLC Hospice Care, Community Based 1365 Interstate Pkwy, Augusta, GA 30909-5626 2011-11-02
1184904435 Affinis Hospice, LLC Hospice Care, Community Based 2565 Thompson Bridge Rd, Suite 201, Gainesville, GA 30501-1723 2011-08-18

Office Location

Street Address 806 MAPLE DR
City VIDALIA
State GA
Zip Code 30474-7208

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851461735 Amicita Home Health, LLC Home Health 806 Maple Dr, Vidalia, GA 30474-7208 2006-11-08

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City VIDALIA
Zip Code 30474

Improve Information

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Dataset Information

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.

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