HARBOR GRACE HOSPICE, INC.
NPI 1205960473
Hospice Care, Community Based in Fayetteville, GA

Active since March 16, 2007CLIA 11D1047460 · Waiver
500 W LANIER AVE, SUITE 401, FAYETTEVILLE, GA 30214(678) 962-5850(678) 962-5855 Get Directions Write a Review

NPPES record last updated: August 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Harbor Grace Hospice, Inc. NPPES

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

HARBOR GRACE HOSPICE, INC. (NPI 1205960473) is a healthcare organization registered as a hospice care, community based in Fayetteville, Georgia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through November 6, 2027 and lists Jodi Wrenn, Administrator, as its authorized official.

NPPES Registry Identity

NPI1205960473
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameHARBOR GRACE HOSPICE, INC.
Location Address500 W LANIER AVE, SUITE 401Fayetteville, GA 30214-7636
Mailing Address500 W Lanier Ave, Suite 401Fayetteville, GA 30214-7636 · (678) 962-5850 · Fax (678) 962-5855
Fax(678) 962-5855
Organization SubpartNo
Authorized OfficialJodi WrennAdministrator · (678) 962-5850
Enumeration DateMarch 16, 2007
Last NPPES UpdateAugust 13, 2009
NPI 1205960473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License Licensed in GA · 056-242-H
500 W LANIER AVE, Fayetteville, GA 30214

Other Identifiers 1

Medicare ID-Type Unspecified111621GA · Provider Number

Accepted Insurance

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 11D1047460

Harbor Grace Hospice · Fayetteville, GA
Active · expires Nov 6, 2027
CLIA Number11D1047460
Laboratory TypeHospice
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorTorey B. Clark
Laboratory Phone(678) 962-5850
Laboratory LocationHarbor Grace Hospice500 Lanier Avenue West, Suite 401, Fayetteville, GA 30214
CLIA data matches this NPI record on: 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 Harbor Grace Hospice, Inc (CMS certification number 111621), from CMS Care Compare.

Harbor Grace Hospice, Inc

Hospice · Fayetteville, GA
OwnershipFor-Profit
CMS Certification Number111621
CMS RegionRegion 4
Medicare-Certified SinceSeptember 12, 2005
Average Daily Census44patients per day on average
Location500 Lanier Avenue West, Suite 401Fayetteville, GA 30214 · Fayette County
Routine home care and other levels of care Serves Medicare Advantage patients Serves dual-eligible patients

Care Settings & Patients

Where care was provided, as a share of care days
Home82%
Skilled nursing facility0%
Inpatient hospice facility14%
Inpatient hospital2%
Patients with cancer
27%
Patients with dementia
7%
Patients with circulatory or heart disease
6%
Patients with respiratory disease
2%
Patients with stroke
14%
Patients with other conditions
12%
Profile statistics are from the 2020 CMS reporting year. Zero values reflect that year and may differ in more recent years.

Quality Measures

Hospice and Palliative Care Treatment Preferences
676 patient stays
98.8%
Beliefs & Values Addressed (if desired by the patient)
676 patient stays
98.8%
Hospice and Palliative Care Pain Screening
676 patient stays
96.9%
Hospice and Palliative Care Pain Assessment
270 patient stays
93%
Hospice and Palliative Care Dyspnea Screening
676 patient stays
99.9%
Hospice and Palliative Care Dyspnea Treatment
393 patient stays
99.5%
Patient Treated with an Opioid Who Are Given a Bowel Regimen
334 patient stays
98.5%
Hospice and Palliative Care Composite Process Measure
676 patient stays
91.9%
Hospice Visits in the Last Days of Life
197 patient stays
26.9%
Measures are reported under the CMS Hospice Quality Reporting Program. Reporting periods vary by measure (2022 to 2023). Measures without current CMS data are not shown.
9/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 100
12.9%
Gaps in nursing visits
National percentile 87
81.4%
Early live discharges
National percentile 99
26.1%
Late live discharges
National percentile 6
15.2%
Burdensome transitions, Type 1
National percentile 71
10.9%
Burdensome transitions, Type 2
National percentile 86
4.3%
Per-beneficiary spending
National percentile 4
$7,216
Nurse care minutes per routine home care days
National percentile 100
79.6 minutes
Skilled nursing minutes on weekends
National percentile 94
19.1%
Visits near death
National percentile 39
91.4%
Percentiles compare this hospice with all hospices nationally, as published by CMS.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
500 W LANIER AVE, SUITE 508
FAYETTEVILLE, GA 30214
Nursing Care
500 W LANIER AVE, SUITE 606A
FAYETTEVILLE, GA 30214
Orthopaedic Surgery (Sports Medicine)
500 W LANIER AVE, SUITE 506
FAYETTEVILLE, GA 30214
Community/Behavioral Health
500 W LANIER AVE, SUITE 408
FAYETTEVILLE, GA 30214
Counselor (Professional)
500 W LANIER AVE, SUITE 508
FAYETTEVILLE, GA 30214
Nursing Care
500 W LANIER AVE, STE 410
FAYETTEVILLE, GA 30214
Specialist
500 W LANIER AVE, SUITE 406
FAYETTEVILLE, GA 30214
Obstetrics & Gynecology
500 W LANIER AVE, SUITE 405
FAYETTEVILLE, GA 30214

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 Harbor Grace Hospice, Inc.'s NPI number?

The NPI number for Harbor Grace Hospice, Inc. is 1205960473. It was assigned to this organization in the NPPES registry on March 16, 2007.

Where is Harbor Grace Hospice, Inc. located?

Harbor Grace Hospice, Inc. is located at 500 W Lanier Ave Suite 401, Fayetteville, GA 30214. The listed phone number is (678) 962-5850.

What is Harbor Grace Hospice, Inc.'s specialty?

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

Does Harbor Grace Hospice, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1047460) is associated with this NPI, valid through November 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Harbor Grace Hospice, Inc. a Medicare-certified hospice?

Yes. Harbor Grace Hospice, Inc is a Medicare-certified hospice (CMS certification number 111621), certified since September 12, 2005.

What insurance does Harbor Grace Hospice, Inc. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Harbor Grace Hospice, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Harbor Grace Hospice, Inc. was last updated on August 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.