Healthcare Provider Details

I. General information

NPI: 1528455169
Provider Name (Legal Business Name): HOPE HOSPICE OF ATLANTA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2015
Last Update Date: 04/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W I PKWY SUITE 208
DALLAS GA
30132-5079
US

IV. Provider business mailing address

300 W I PKWY SUITE 208
DALLAS GA
30132-5079
US

V. Phone/Fax

Practice location:
  • Phone: 770-694-6750
  • Fax: 770-818-5720
Mailing address:
  • Phone: 770-694-6750
  • Fax: 770-818-5720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. STANLEY NJOKU
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 770-694-6750