Organization
HOSPICE ADVANTAGE, LLC
Active
Other names
Hospice Advantage, Inc, Compassus - Kennesaw
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL ADKINS (SVP GENERAL COUNSEL)
(615) 309-5668
Entity
Organization
Contact information
Practice address
300 CHASTAIN CENTER BLVD, SUITE 345, KENNESAW, GA 30144-5557
(770) 218-1997
(770) 218-1975
Mailing address
10 CADILLAC DRIVE, SUITE 400, BRENTWOOD, TN 37027-1001
(615) 377-7022
(615) 373-4457
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
033-234-H
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51864050
BLUE CROSS OF GEORGIA
GA
05
—
622834679A
—
GA
Enumeration date
05/20/2006
Last updated
06/09/2020
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