HOMESTEAD HOSPICE OF NORTHWEST GEORGIA, LLC
NPI 1124766555
Clinic/Center in Dalton, GA

Active since May 25, 2022CLIA 11D2062132 · Waiver
1209 STARR DR, DALTON, GA 30720(706) 217-1926(706) 217-1927 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 20, 2026, Nov 12, 2025, Jun 24, 2024 and 2 more (5 updates tracked since 2022).

About Homestead Hospice Of Northwest Georgia, Llc NPPES

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

HOMESTEAD HOSPICE OF NORTHWEST GEORGIA, LLC (NPI 1124766555), doing business as Eternal Faith Hospice And Palliative Care, is a healthcare organization registered as a clinic/center in Dalton, Georgia and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through July 10, 2027 and lists Dean Alverson, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1124766555
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameHOMESTEAD HOSPICE OF NORTHWEST GEORGIA, LLC
Location Address1209 STARR DRDalton, GA 30720-2578
Mailing AddressPo Box 733707Dallas, TX 75373-3707 · (682) 354-9538 · Fax (682) 354-8787
Fax(706) 217-1927
Organization SubpartNo
Authorized OfficialDean AlversonPresident & Ceo · (404) 408-7096
Enumeration DateMay 25, 2022
Last NPPES UpdateApril 20, 20265 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1124766555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1209 STARR DR, Dalton, GA 30720

Other Names 2

Doing Business AsEternal Faith Hospice And Palliative Care
Doing Business AsTraditions Health

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Homestead Hospice Of Northwest Georgia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Homestead Hospice Of Northwest Georgia, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1598439648
1601 HICKORY ST
Dalton, GA 30720
(706) 217-1926
✔ PECOS✔ Accepts Medicare1.0 mi
Internal Medicine
NPI 1023035094
1035 RED BUD RD NE
Calhoun, GA 30701
(706) 879-4776
✔ PECOS✔ Accepts Medicare19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 11D2062132

Homestead Hospice Of Northwest Georgia, LLC Dba Traditions Health · Dalton, GA
Active · expires Jul 10, 2027
CLIA Number11D2062132
Laboratory TypeHospice
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorSaundra Cash
Laboratory Phone(706) 217-1926
Laboratory LocationHomestead Hospice Of Northwest Georgia, LLC Dba Traditions Health1209 Starr Drive, Dalton, GA 30720
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Homestead Hospice Of Northwest Georgia, LLC's NPI number?

The NPI number for Homestead Hospice Of Northwest Georgia, LLC is 1124766555. It was assigned to this organization in the NPPES registry on May 25, 2022. The provider is doing business as Eternal Faith Hospice and Palliative Care and Traditions Health.

Where is Homestead Hospice Of Northwest Georgia, LLC located?

Homestead Hospice Of Northwest Georgia, LLC is located at 1209 Starr Dr, Dalton, GA 30720. The listed phone number is (706) 217-1926.

What is Homestead Hospice Of Northwest Georgia, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Homestead Hospice Of Northwest Georgia, LLC enrolled in Medicare?

Yes. Homestead Hospice Of Northwest Georgia, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Homestead Hospice Of Northwest Georgia, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Homestead Hospice Of Northwest Georgia, LLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Homestead Hospice Of Northwest Georgia, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2062132) is associated with this NPI, valid through July 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Homestead Hospice Of Northwest Georgia, LLC was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.