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ATLANTA REGIONAL HOSPICE LLC
NPI 1003520925
Hospice Care, Community Based in Lake City, GA

Active since January 06, 2023CLIA 11D2274361 · Waiver
5499 JONESBORO RD STE B3, LAKE CITY, GA 30260(404) 530-9313 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Atlanta Regional Hospice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATLANTA REGIONAL HOSPICE LLC (NPI 1003520925) is a healthcare organization registered as a hospice care, community based in Lake City, Georgia and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through January 2, 2027 and lists Grissel Cruz-albuoy, Coo, as its authorized official.

NPPES Registry Identity

NPI1003520925
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameATLANTA REGIONAL HOSPICE LLC
Location Address5499 JONESBORO RD STE B3Lake City, GA 30260-3553
Mailing Address5499 Jonesboro Rd Ste B3Lake City, GA 30260-3553 · (404) 530-9313
Phone(404) 530-9313
Organization SubpartNo
Authorized OfficialGrissel Cruz-albuoyCoo · (301) 693-4201
Enumeration DateJanuary 6, 2023
NPPES CertifiedJanuary 6, 2023
✔ NPI 1003520925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
5499 JONESBORO RD STE B3, Lake City, GA 30260
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2274361

Atlanta Regional Hospice LLC · Lake City, GA
Active · expires Jan 2, 2027
CLIA Number11D2274361
Laboratory TypeHospice
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorMargo R. Jacob
Laboratory Phone(301) 693-4201
Laboratory LocationAtlanta Regional Hospice LLC5499 Jonesboro Road, Suite B3, Lake City, GA 30260
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Atlanta Regional Hospice, LLC (CMS certification number 851575), from CMS Care Compare.

Atlanta Regional Hospice, LLC

Hospice · Lake City, GA
OwnershipFor-Profit
CMS Certification Number851575
CMS RegionRegion 4
Medicare-Certified SinceJune 22, 2023
Location5499 Jonesboro Road #b3Lake City, GA 30260
Phone(404) 547-2991

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Atlanta Regional Hospice LLC's NPI number?

The NPI number for Atlanta Regional Hospice LLC is 1003520925. It was assigned to this organization in the NPPES registry on January 6, 2023.

Where is Atlanta Regional Hospice LLC located?

Atlanta Regional Hospice LLC is located at 5499 Jonesboro Rd Ste B3, Lake City, GA 30260. The listed phone number is (404) 530-9313.

What is Atlanta Regional Hospice LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Atlanta Regional Hospice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2274361) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Atlanta Regional Hospice LLC a Medicare-certified hospice?

Yes. Atlanta Regional Hospice, LLC is a Medicare-certified hospice (CMS certification number 851575), certified since June 22, 2023.

When was this NPI record last updated?

The NPPES record for Atlanta Regional Hospice LLC was last updated on January 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.