AMAZING GRACE HOSPICE CARE, LLC
NPI 1154011104
Hospice Care, Community Based in Dallas, GA
About Amazing Grace Hospice Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMAZING GRACE HOSPICE CARE, LLC (NPI 1154011104) is a healthcare organization registered as a hospice care, community based in Dallas, Georgia and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through July 25, 2027 and lists Laura Michael Hubbard, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 11D2286245
Amazing Grace Hospice Care, LLC · Dallas, GAHospice Care Quality CMS Care Compare
Quality measures, care settings and the Hospice Care Index for Amazing Grace Hospice Care, LLC (CMS certification number 851588), from CMS Care Compare.
Amazing Grace Hospice Care, LLC
Hospice · Dallas, GAFrequently 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 Amazing Grace Hospice Care, LLC's NPI number?
The NPI number for Amazing Grace Hospice Care, LLC is 1154011104. It was assigned to this organization in the NPPES registry on May 12, 2023.
Where is Amazing Grace Hospice Care, LLC located?
Amazing Grace Hospice Care, LLC is located at 168 N Johnston St Ste 104, Dallas, GA 30132. The listed phone number is (470) 474-9181.
What is Amazing Grace Hospice Care, LLC's specialty?
The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.
Does Amazing Grace Hospice Care, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2286245) is associated with this NPI, valid through July 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is Amazing Grace Hospice Care, LLC a Medicare-certified hospice?
Yes. Amazing Grace Hospice Care, LLC is a Medicare-certified hospice (CMS certification number 851588), certified since January 24, 2024.
When was this NPI record last updated?
The NPPES record for Amazing Grace Hospice Care, LLC was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Amazing Grace Hospice Care, Llc · NPI 1154011104
Hospice Care, Community Based organization in Dallas, Georgia. Organization record, active in the CMS NPPES registry since May 12, 2023.
## Identity
- **NPI:** 1154011104 (Entity type: Organization)
- **Enumerated:** May 12, 2023
- **Primary specialty:** Hospice Care, Community Based · taxonomy 251G00000X
- **Organization subpart:** No
- **Authorized official:** Laura Hubbard, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 168 N JOHNSTON ST STE 104, Dallas, GA 30132-4740
- **Phone:** (470) 474-9181
## Record status
- **NPPES last updated:** May 12, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154011104) · Data from the CMS NPPES public registry.