Provider Demographics
NPI:1407433881
Name:RUTH'S HOME HOSPICE LLC
Entity Type:Organization
Organization Name:RUTH'S HOME HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:T
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-507-4822
Mailing Address - Street 1:157 BURKE ST STE 110
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-3439
Mailing Address - Country:US
Mailing Address - Phone:470-507-4822
Mailing Address - Fax:470-507-4823
Practice Address - Street 1:157 BURKE ST STE 110
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-3439
Practice Address - Country:US
Practice Address - Phone:470-507-4822
Practice Address - Fax:470-507-4823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based