Provider Demographics
NPI:1629732953
Name:LENOX HOSPICE, LLC
Entity Type:Organization
Organization Name:LENOX HOSPICE, LLC
Other - Org Name:LENOX HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-781-3363
Mailing Address - Street 1:950 EAGLES LANDING PKWY # 842
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-7343
Mailing Address - Country:US
Mailing Address - Phone:470-777-0308
Mailing Address - Fax:470-777-2358
Practice Address - Street 1:5750 BROOK HOLLOW PKWY STE 106
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-3515
Practice Address - Country:US
Practice Address - Phone:470-299-8983
Practice Address - Fax:470-468-9112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based