CROSSROADS HOSPICE OF ATLANTA LLC; NPI #1699715045

Contact Information

CROSSROADS HOSPICE OF ATLANTA LLC

1957 LAKESIDE PKWY STE 500
TUCKER, GA 30084-5859

Phone: 770-270-9898
Fax: 770-270-9896
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Hospice Care, Community Based	251G00000X	B4[14]	Hospice
Hospice and Palliative Medicine	207QH0002X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for CROSSROADS HOSPICE OF ATLANTA LLC

NPI # 1699715045

LBN Legal business name CROSSROADS HOSPICE OF ATLANTA LLC

Authorized official CLAYTON FARMER - (CFO/COO)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 06/07/2006

Last updated 11/14/2022 - About 4 years ago

Identifiers

GA	License #	0200515330
GA	Medicaid	050414737A

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CROSSROADS HOSPICE OF ATLANTA LLC

Contact Information

Specialty

Hospice Care, Community Based

Hospice and Palliative Medicine

NPI Profile & details for CROSSROADS HOSPICE OF ATLANTA LLC

Reviews for CROSSROADS HOSPICE OF ATLANTA LLC