REGENCY HOSPICE OF NORTHEAST GEORGIA
NPI 1073561130
Hospice Care, Community Based in Kennesaw, GA
NPI Status: Active since May 04, 2006
Contact Information
4255 WADE GREEN RD NW
STE 210
KENNESAW, GA
ZIP 30144
Phone: (770) 382-7175
Fax: (770) 382-4927
- Organization
- Hospice Care, Community Based
- CLIA Number: 11D2067822
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 10-22-2027
About REGENCY HOSPICE OF NORTHEAST GEORGIA
This page provides the complete NPI Profile along with additional information for Regency Hospice Of Northeast Georgia, a provider established in Kennesaw, Georgia operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1073561130 assigned on May 2006. The practitioner's primary taxonomy code is 251G00000X with license number 008-191-H (GA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Regency Hospice Of Northeast Georgia. The authorized official of this NPI record is Jessica Kleberg (Vp Of Legal Affairs)
- NPI
- 1073561130
- Provider Legal Name
- REGENCY HOSPICE OF GEORGIA, LLC
- Other Organization Name
- REGENCY HOSPICE OF NORTHEAST GEORGIA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4255 WADE GREEN RD NW STE 210 KENNESAW, GA 30144
- Location Phone
- (770) 382-7175
- Location Fax
- (770) 382-4927
- Mailing Address
- 655 BRAWLEY SCHOOL RD SUITE 200 MOORESVILLE, NC 28117
- Mailing Phone
- (704) 664-2876
- Mailing Fax
- (770) 382-4927
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-04-2006
- Last Update Date
- 05-16-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Hospice Care, Community Based
- Taxonomy Code
- 251G00000X
- Type
- Agencies
- License No.
- 008-191-H
- License State
- GA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000457509A | MEDICAID (05) | GA | |
| 11-1604 | MEDICARE PIN (08) | GA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2067822
- Facility Type
- Hospice
- Certificate Effective Date
- October 23, 2025
- Certificate Expiration Date
- October 22, 2027
- Laboratory Director
- KELLY SANDERS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Regency Hospice Of Northeast Georgia to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1073561130, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
KENNESAW, GA 30144
KENNESAW, GA 30144
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073561130, enumerated as an "organization" on May 04, 2006.
The provider is located at 4255 WADE GREEN RD NW STE 210 KENNESAW, GA 30144 and the phone number is (770) 382-7175.
Hospice Care, Community Based with taxonomy code 251G00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
