| Organization Name: | ADVENTA HOSPICE, LLC |
| NPI Number: | 1427173699 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL B KUSSEROW (PRESIDENT) |
| Mailing Address: | 595 Hurricane Shoals Rd Nw Suite 200 Lawrenceville |
| State: | GA US |
| Postal Code: | 300468761 |
| Phone Number: | 6784427338 |
| Fax Number: | 6784427410 |
| NPI Enumeration Date: | 03/20/2007 |
| NPI Last Update Date: | 03/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |