Provider Demographics
NPI:1174005292
Name:AFFINIS HOSPICE, LLC
Entity Type:Organization
Organization Name:AFFINIS HOSPICE, LLC
Other - Org Name:AFFINIS HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ABSHER
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-538-0465
Mailing Address - Street 1:806 MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:VIDALIA
Mailing Address - State:GA
Mailing Address - Zip Code:30474-7208
Mailing Address - Country:US
Mailing Address - Phone:912-538-8000
Mailing Address - Fax:912-538-0467
Practice Address - Street 1:25 MERRITT ST
Practice Address - Street 2:
Practice Address - City:HAWKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:31036-4706
Practice Address - Country:US
Practice Address - Phone:478-783-2308
Practice Address - Fax:478-783-0804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based