NPI 1174005292 · live from the CMS NPI Registry
Affinis Hospice, LLC
Hospice Care, Community Based in Hawkinsville, GA. National Provider Identifier 1174005292, active.
NPI record
| NPI | 1174005292 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 25 Merritt St, Hawkinsville, GA 31036 |
| Practice phone | 478-783-2308 |
| Mailing address | 806 Maple Dr, Vidalia, GA 30474 |
| Enumerated | September 5, 2018 |
| Last updated | September 5, 2018 |
| Authorized official | Sarah Thompson, Vice President Of Operations |
| Other names | Affinis Hospice |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.