Provider Demographics
NPI:1912460080
Name:CARITAS HOSPICE CARE, LLC
Entity Type:Organization
Organization Name:CARITAS HOSPICE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:PROF
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-239-1851
Mailing Address - Street 1:800 OLD DAWSON VILLAGE RD E STE 20
Mailing Address - Street 2:
Mailing Address - City:DAWSONVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30534-3818
Mailing Address - Country:US
Mailing Address - Phone:770-362-7768
Mailing Address - Fax:
Practice Address - Street 1:800 OLD DAWSON VILLAGE RD E STE 20
Practice Address - Street 2:
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534-3818
Practice Address - Country:US
Practice Address - Phone:678-239-1851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-07
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based