BETHANY HOSPICE AND PALLIATIVE CARE, LLC (NPI# 1972709160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972709160 |
| Entity Type | Organization |
| Organization Name | BETHANY HOSPICE AND PALLIATIVE CARE, LLC |
| Practice Address |
2700 N Oak St Building B Valdosta GA 31602-1772 |
| Practice Telephone | 2292498687 |
| Practice Fax Number | 2292499282 |
| Mailing Telephone | 2292498687 |
| Mailing Fax Number | 2292499282 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2017-01-09 |
| Authorized Official Name | AVA GRAHAM BEST (PRESIDENT/CEO) |
| Authorized Official Telephone | 2292428904 |
| Authorized Official Credential | RN, MPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
092-154-H | GA | Allopathic & Osteopathic Physicians |
| Y | 251G00000X | Hospice Care, Community Based | 092-154-H | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000887994A | 05 |
| Street Address |
2700 N OAK ST BUILDING B |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-1772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801916036 | Lyndsey E Goff | Occupational Therapist | 2700 N Oak St, Bldg A, Valdosta, GA 31602-1772 | 2007-03-30 |
| 1063951408 | Phyllis A Kennedy-howell | Nurse Practitioner | 2700 N Oak St, Valdosta, GA 31602-1772 | 2017-02-17 |
| 1912338252 | Brittney King | Speech-Language Pathologist | 2700 N Oak St, Bldg A, Valdosta, GA 31602-1772 | 2013-12-12 |
| 1578833281 | Kathleen Anderson Thomas | Speech-Language Pathologist | 2700 N Oak St, Bldg A, Valdosta, GA 31602-1772 | 2012-01-11 |
| 1245567692 | Brittany T Folsom | Speech-Language Pathologist | 2700 N Oak St, Bldg A, Valdosta, GA 31602-1772 | 2009-11-05 |
| 1689870552 | Ginger Dale Elkin | Physical Therapy Assistant | 2700 N Oak St, Suite A, Valdosta, GA 31602-1772 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023652948 | Robert Donald Keen | Hospice Care, Community Based | 2602 Rolling Rd, Valdosta, GA 31602-1218 | 2019-11-04 |
| 1104021609 | Serenity Palliative and Hospice Care of Valdosta, Inc. | Hospice Care, Community Based | 1205 Baytree Rd, Suite 5, Valdosta, GA 31602-2782 | 2007-06-15 |
| 1598838468 | Grace Hospice, LLC | Hospice Care, Community Based | 515 N Saint Augustine Rd Ste D, Valdosta, GA 31601-8472 | 2006-11-16 |
| 1063450666 | Pruitthealth Hospice, Inc | Hospice Care, Community Based | 407 Cowart Ave, Valdosta, GA 31602-2635 | 2006-06-03 |
| 1750331401 | South Georgia Health Alliance Dba Hospice of South Georgia | Hospice Care, Community Based | 2263 Pineview Dr, Valdosta, GA 31602-7316 | 2006-05-12 |
| 1629079207 | Odyssey Healthcare Operating B Lp | Hospice Care, Community Based | 1001 Williams St, Valdosta, GA 31601-4038 | 2005-08-09 |
| 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 | ||||
Please comment or provide details below to improve the information on BETHANY HOSPICE AND PALLIATIVE CARE, LLC.
| 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.