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PROVIDENCE HOSPICE, INC.
NPI 1720150212
Hospice Care, Community Based in Stockbridge, GA

Active since November 14, 2006
100 CORPORATE CENTER DRIVE, LOWER LEVEL, STOCKBRIDGE, GA 30281(678) 284-9385(678) 284-9391 Get Directions Write a Review

NPPES record last updated: December 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Hospice, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HOSPICE, INC. (NPI 1720150212) is a healthcare organization registered as a hospice care, community based in Stockbridge, Georgia and active in the NPI registry since November 2006. The organization lists Ian K. Ash, Chief Executive Office, as its authorized official.

NPPES Registry Identity

NPI1720150212
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NamePROVIDENCE HOSPICE, INC.
Location Address100 CORPORATE CENTER DRIVE, LOWER LEVELStockbridge, GA 30281-7244
Mailing Address100 Corporate Center Drive, Lower LevelStockbridge, GA 30281-7244 · (678) 284-9385 · Fax (678) 284-9391
Phone(678) 284-9385
Fax(678) 284-9391
Organization SubpartNo
Authorized OfficialIan K. AshChief Executive Office · (404) 644-5134
Enumeration DateNovember 14, 2006
Last NPPES UpdateDecember 3, 2010
✔ NPI 1720150212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in GA · 075-0253-H
100 CORPORATE CENTER DRIVE, Stockbridge, GA 30281
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Other Identifiers 3

Medicare PIN111646GA
Medicaid015893264AGA
Medicare OSCAR/certification111646GA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Hospice, Inc.'s NPI number?

The NPI number for Providence Hospice, Inc. is 1720150212. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Providence Hospice, Inc. located?

Providence Hospice, Inc. is located at 100 Corporate Center Drive Lower Level, Stockbridge, GA 30281. The listed phone number is (678) 284-9385.

What is Providence Hospice, Inc.'s specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

When was this NPI record last updated?

The NPPES record for Providence Hospice, Inc. was last updated on December 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.