NPI 1104031863 · live from the CMS NPI Registry
At Home Healthcare And Hospice LLC
Hospice Care, Community Based in Conyers, GA. National Provider Identifier 1104031863, active.
NPI record
| NPI | 1104031863 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 1051 Culpepper Dr Sw # 100, Conyers, GA 30094 |
| Practice phone | 678-413-1360 |
| Mailing address | Po Box 4060, Mooresville, NC 28117 |
| Enumerated | May 14, 2007 |
| Last updated | April 7, 2026 |
| Authorized official | Janet Combs, Vp Licensure |
| Other names | Gentiva |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | 031-0292-H (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.