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Organization

WELLSTAR COMMUNITY HOSPICE, LLC

Active
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Organization

WELLSTAR COMMUNITY HOSPICE, LLC

Active
Parent organization
WELLSTAR HEALTH SYSTEM, INC.
Other names
WellStar Community Hospice
Organization subpart
Yes

Provider details

NPI number
Legal business name
WELLSTAR HEALTH SYSTEM, INC.
Authorized official
JOHN G KERNDL (EVP & CFO)
(470) 644-0076
Entity
Organization

Contact information

Practice address
4040 HOSPITAL WEST DR, AUSTELL, GA 30106-8117
(770) 732-6710
(770) 732-6732
Mailing address
4040 HOSPITAL WEST DR, AUSTELL, GA 30106-8117
(770) 732-6710
(770) 732-6732

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
033077H
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000373799A
GA
Enumeration date
04/18/2006
Last updated
05/28/2026
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