| Homestead Hospice Of Northwest Georgia, Llc | |
|
1209 Starr Dr Dalton GA 30720-2578 | |
| (706) 217-1926 | |
| (706) 217-1927 |
| Full Name | Homestead Hospice Of Northwest Georgia, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1209 Starr Dr, Dalton, Georgia |
| Authorized Official Name and Position | Dean Alverson (PRESIDENT & CEO) |
| Authorized Official Contact | 4044087096 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Homestead Hospice Of Northwest Georgia, Llc Po Box 733707 Dallas TX 75373-3707 Ph: (682) 354-9538 | Homestead Hospice Of Northwest Georgia, Llc 1209 Starr Dr Dalton GA 30720-2578 Ph: (706) 217-1926 |
| NPI Number | 1124766555 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 04/20/2026 |
| Medicare PECOS PAC ID | 3678709441 |
|---|---|
| Medicare Enrollment ID | O20220714000391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124766555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Anthony G Captain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023035094 PECOS PAC ID: 0749259661 Enrollment ID: I20050228000463 |
| Provider Name | Brooklyn M Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598439648 PECOS PAC ID: 5395133870 Enrollment ID: I20211103000219 |
Griggs Family Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Broadrick Dr, Dalton, GA 30720 Phone: 706-529-4266 Fax: 706-529-4269 | |
Mednow, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2709 Airport Rd, Suite 101, Dalton, GA 30721 Phone: 706-275-4444 Fax: 706-275-6515 | |
I D Specialist Dalton P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 E Walnut Ave Ste 4, Dalton, GA 30721 Phone: 706-428-8908 | |
The Deo Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 N Fredrick St, Dalton, GA 30721 Phone: 706-581-2009 Fax: 706-529-5055 | |
Premise Health Of Georgia Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2305 Abutment Rd, Dalton, GA 30721 Phone: 706-532-2588 Fax: 706-532-2589 | |
Mc Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 Shugart Rd, Dalton, GA 30720 Phone: 706-277-7661 Fax: 706-277-7669 |