Healthcare Provider Details
I. General information
NPI: 1407432107
Provider Name (Legal Business Name): TROPICAL HEALTH HOSPICE OF GEORGIA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/22/2021
Last Update Date: 08/21/2023
Certification Date: 08/21/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2795 MAIN ST W STE 26A
SNELLVILLE GA
30078-3075
US
IV. Provider business mailing address
PO BOX 390551
SNELLVILLE GA
30039-0010
US
V. Phone/Fax
- Phone: 470-427-2531
- Fax: 470-226-1636
- Phone: 470-226-1766
- Fax: 470-226-1636
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NICHOLE
RICHARDSON
Title or Position: CEO/ADMINISTRATOR
Credential: OWNER
Phone: 678-448-2853