Provider Demographics
NPI:1497392534
Name:SEVA HOSPICE, LLC
Entity Type:Organization
Organization Name:SEVA HOSPICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PRASANT
Authorized Official - Middle Name:H
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-596-2449
Mailing Address - Street 1:225 FRANKLIN RD UNIT 1601
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-2696
Mailing Address - Country:US
Mailing Address - Phone:228-596-2449
Mailing Address - Fax:866-807-2926
Practice Address - Street 1:3845 N DRUID HILLS RD STE 307
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-3000
Practice Address - Country:US
Practice Address - Phone:228-596-2449
Practice Address - Fax:866-807-2926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-09
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based