OrganizationActive
At Home Healthcare and Hospice LLC
NPI 1104031863 · Community Based Hospice Care Agency · Conyers, GA
Provider details
- NPI number
- 1104031863
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Authorized official
- Janet Combs, Vp Licensure
- License
- 031-0292-H (GA)
Practice location
1051 Culpepper Dr Sw # 100
Conyers, GA 30094-5986
Phone: (678) 413-1360
Fax: (678) 413-1359
Mailing address
Po Box 4060
Mooresville, NC 28117-4060
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2026-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.