PROMEDICA HOSPICE (CARTERSVILLE)
NPI 1083669220
Hospice Care, Community Based in Cartersville, GA
NPI Status: Active since May 24, 2006
Contact Information
328 E MAIN ST STE 201
CARTERSVILLE, GA
ZIP 30120
Phone: (770) 382-0721
Fax: (770) 382-1263
- Organization
- Hospice Care, Community Based
- Accepts Insurance
- CLIA Number: 11D1062539
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 03-10-2026
About PROMEDICA HOSPICE (CARTERSVILLE)
This page provides the complete NPI Profile along with additional information for Promedica Hospice (cartersville), a provider established in Cartersville, Georgia operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1083669220 assigned on May 2006. The practitioner's primary taxonomy code is 251G00000X with license number 008-0262-H (GA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Promedica Hospice (cartersville). The authorized official of this NPI record is Mr. Martin D Allen (Director)
- NPI
- 1083669220
- Provider Legal Name
- IN HOME HEALTH LLC
- Other Organization Name
- PROMEDICA HOSPICE (CARTERSVILLE)
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 328 E MAIN ST STE 201 CARTERSVILLE, GA 30120
- Location Phone
- (770) 382-0721
- Location Fax
- (770) 382-1263
- Mailing Address
- 333 N SUMMIT ST ATTN DEAN SHIPMAN TOLEDO, OH 43604
- Mailing Phone
- (419) 254-7841
- Mailing Fax
- (770) 382-1263
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-24-2006
- Last Update Date
- 01-23-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Hospice Care, Community Based
- Taxonomy Code
- 251G00000X
- Type
- Agencies
- License No.
- 008-0262-H
- License State
- GA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 315D00000X | Nursing & Custodial Care Facilities | Hospice, Inpatient |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - EPO
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Connect Bronze 2000 Indiv Med Deductible - HMO
- Connect Bronze 5000 Indiv Med Deductible - Rx Copay - HMO
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - HMO
- Connect Gold CMS Standard - Rx Copay - HMO
- Connect Silver 3000 Indiv Med Deductible - Rx Copay - HMO
- Connect Silver 3500 Indiv Med Deductible - HMO
- Connect Silver 4400 Indiv Med Deductible - HMO
- Connect Bronze 6800 Indiv Med Deductible - HMO
- Connect Bronze 8900 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold 2500 Indiv Med Deductible - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 4000 Indiv Med Deductible - HMO
- Connect Silver 5000 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000898873A | MEDICAID (05) | GA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D1062539
- Facility Type
- Hospice
- Certificate Effective Date
- March 11, 2024
- Certificate Expiration Date
- March 10, 2026
- Laboratory Director
- LEAH A. SIMPSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Promedica Hospice (cartersville) to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PROMEDICA HOSPICE (CARTERSVILLE)
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 8 | 3 | 6 | 6 | 9 | 2 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 12 | 6 | 18 | 2 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 1 + 2 + 6 + 1 + 8 + 2 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1083669220 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1467177527 | IN HOME HEALTH, LLC Organization | Internal Medicine (Hospice and Palliative Medicine) | 328 E MAIN ST STE 201 CARTERSVILLE, GA 30120 (770) 382-0721 |
| 1801595301 | SOUTHERNCARE, INC. Organization | Hospice Care, Community Based | 328 E MAIN ST STE 201 CARTERSVILLE, GA 30120 (770) 382-0721 |
| 1598463630 | AMBER K RETTIG FNP Individual | Nurse Practitioner (Family) | 328 E MAIN ST STE 201 CARTERSVILLE, GA 30120 (800) 427-1902 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083669220, enumerated in the NPI registry as an "organization" on May 24, 2006
The provider is located at 328 E Main St Ste 201 Cartersville, Ga 30120 and the phone number is (770) 382-0721
This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X
The provider might be accepting Accepts: Aetna CVS Health, BannerAetna, Cigna Healthcare,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 11D1062539 for a "hospice" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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