Provider Demographics
NPI:1376369819
Name:CARITAS HOSPICE CARE OF NORTHWEST GEORGIA
Entity type:Organization
Organization Name:CARITAS HOSPICE CARE OF NORTHWEST GEORGIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-203-1139
Mailing Address - Street 1:105 WEATHERSTONE DR STE 620
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-7002
Mailing Address - Country:US
Mailing Address - Phone:706-203-1139
Mailing Address - Fax:706-203-1948
Practice Address - Street 1:105 WEATHERSTONE DR STE 620
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-7002
Practice Address - Country:US
Practice Address - Phone:706-203-1139
Practice Address - Fax:706-203-1948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based