Coastal Hospice Of Georgia

LBN: Legacy Hospice Ga, Llc
Coastal Hospice Of Georgia is an health care organization with primary practice located at 106 Shoppers Way Ste 111 , Brunswick GA 31525-0522. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Legacy Hospice Ga, Llc can be contacted via phone (912) 434-9810, or through Maberry, Donnie via phone (972) 468-8070.

Contact Information

Primary practice address
106 Shoppers Way Ste 111 Brunswick GA 31525-0522
Phone: (912) 434-9810
Fax: (912) 434-9752
Website:
Map and Directions
Authorized official contact:
Name: Maberry, Donnie
Phone: (972) 468-8070

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X

Profile Details

NPI number 1477153492
LBN Legal business name Legacy Hospice Ga, Llc
DBA Doing business as Coastal Hospice Of Georgia
Authorized official Maberry, Donnie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2020
Last updated Apr 29th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477153492 NPPES
Georgia MEDICAID 003250312A
Georgia Other 11D2210199
Georgia Other HSPC001445

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