PROMEDICA HOSPICE (CARTERSVILLE)
NPI 1083669220
Hospice Care, Community Based in Cartersville, GA
NPI Status: Active since May 24, 2006
Contact Information
328 E MAIN ST STE 201
CARTERSVILLE, GA
ZIP 30120
Phone: (770) 382-0721
Fax: (770) 382-1263
- Organization
- Hospice Care, Community Based
- Accepts Insurance
- CLIA Number: 11D1062539
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 03-10-2026
About PROMEDICA HOSPICE (CARTERSVILLE)
This page provides the complete NPI Profile along with additional information for Promedica Hospice (cartersville), a provider established in Cartersville, Georgia operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1083669220 assigned on May 2006. The practitioner's primary taxonomy code is 251G00000X with license number 008-0262-H (GA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Promedica Hospice (cartersville). The authorized official of this NPI record is Mr. Martin D Allen (Director)
- NPI
- 1083669220
- Provider Legal Name
- IN HOME HEALTH LLC
- Other Organization Name
- PROMEDICA HOSPICE (CARTERSVILLE)
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 328 E MAIN ST STE 201 CARTERSVILLE, GA 30120
- Location Phone
- (770) 382-0721
- Location Fax
- (770) 382-1263
- Mailing Address
- 333 N SUMMIT ST ATTN DEAN SHIPMAN TOLEDO, OH 43604
- Mailing Phone
- (419) 254-7841
- Mailing Fax
- (770) 382-1263
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-24-2006
- Last Update Date
- 01-23-2022
- 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.
- 008-0262-H
- License State
- GA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 315D00000X | Nursing & Custodial Care Facilities | Hospice, Inpatient |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health) - HMO
- MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- MENDING Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
- MENDING Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
- MENDING Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO
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 |
|---|---|---|---|
| 000898873A | MEDICAID (05) | 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
- 11D1062539
- Facility Type
- Hospice
- Certificate Effective Date
- March 11, 2024
- Certificate Expiration Date
- March 10, 2026
- Laboratory Director
- LEAH A. SIMPSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Promedica Hospice (cartersville) 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.
Reviews for PROMEDICA HOSPICE (CARTERSVILLE)
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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 1083669220, 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 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 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
CARTERSVILLE, GA 30120
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083669220, enumerated as an "organization" on May 24, 2006.
The provider is located at 328 E MAIN ST STE 201 CARTERSVILLE, GA 30120 and the phone number is (770) 382-0721.
Hospice Care, Community Based with taxonomy code 251G00000X.
The provider might be accepting Accepts: Mending Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
