Provider Demographics
NPI:1093281131
Name:YOUR FAMILY HOSPICE, LLC
Entity Type:Organization
Organization Name:YOUR FAMILY HOSPICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:912-332-7969
Mailing Address - Street 1:229 W GENERAL SCREVEN WAY STE E
Mailing Address - Street 2:
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31313-3036
Mailing Address - Country:US
Mailing Address - Phone:912-332-7969
Mailing Address - Fax:912-332-5364
Practice Address - Street 1:229 W GENERAL SCREVEN WAY STE E
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-3036
Practice Address - Country:US
Practice Address - Phone:912-332-7969
Practice Address - Fax:912-332-5364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-16
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based