MEDICARE: SEVA HOSPICE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1497392534
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEVA HOSPICE, LLC

Provider Business Mailing Address
First Line	:	3379 PEACHTREE RD NE STE 719
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30326-1031
Country	:	US
Telephone Number	:	228-596-2449
Fax Number	:

Provider Business Practice Location Address
First Line	:	3379 PEACHTREE RD NE STE 719
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30326-1031
Country	:	US
Telephone Number	:	228-596-2449
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. PRASANT H DESAI
Credential	:	MBA, MPH CALA
Telephone Number	:	228-596-2449

Provider Enumeration Date	:	12/09/2019
Last Update Date	:	04/07/2026

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