Provider Demographics
NPI:1689303000
Name:S&N COMPASSIONATE CARES HOSPICE LLC
Entity Type:Organization
Organization Name:S&N COMPASSIONATE CARES HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANYANGWE
Authorized Official - Middle Name:
Authorized Official - Last Name:NKONGHONYOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-889-2397
Mailing Address - Street 1:2414 PALLADIAN MANOR WAY SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-6734
Mailing Address - Country:US
Mailing Address - Phone:404-889-2397
Mailing Address - Fax:770-690-9094
Practice Address - Street 1:1640 POWERS FERRY RD SE BLDG 16
Practice Address - Street 2:SUITE 200
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067
Practice Address - Country:US
Practice Address - Phone:404-889-2397
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based