Healthcare Provider Details

I. General information

NPI: 1144095647
Provider Name (Legal Business Name): CARBEL HOSPICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2023
Last Update Date: 11/15/2023
Certification Date: 11/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2295 HENRY CLOWER BLVD STE 200G
SNELLVILLE GA
30078-5707
US

IV. Provider business mailing address

2295 HENRY CLOWER BLVD STE 200G
SNELLVILLE GA
30078-5707
US

V. Phone/Fax

Practice location:
  • Phone: 908-416-6766
  • Fax: 770-676-7087
Mailing address:
  • Phone: 908-416-6766
  • Fax: 770-676-7087

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: CAROL BELGRAVE
Title or Position: OWNER
Credential:
Phone: 908-416-6766