Healthcare Provider Details

I. General information

NPI: 1912460080
Provider Name (Legal Business Name): CARITAS HOSPICE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2019
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 W MAPLE ST STE 304
CUMMING GA
30040-2420
US

IV. Provider business mailing address

514 W MAPLE ST UNIT 304
CUMMING GA
30040-2420
US

V. Phone/Fax

Practice location:
  • Phone: 706-203-1139
  • Fax: 706-203-1948
Mailing address:
  • Phone: 678-235-9324
  • Fax: 706-203-1948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOSEPH EDWIN COX
Title or Position: OWNER/CEO
Credential: RN
Phone: 706-203-1139