DIVINE LIGHT HOSPICE LLC
NPI 1326703232
Hospice Care, Community Based in Norcross, GA

Active since November 04, 2021CLIA 11D2244468 · Waiver
5750 BROOK HOLLOW PKWY STE 104, NORCROSS, GA 30071(770) 696-1703(470) 226-3371 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Divine Light Hospice Llc NPPES

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

DIVINE LIGHT HOSPICE LLC (NPI 1326703232) is a healthcare organization registered as a hospice care, community based in Norcross, Georgia and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through December 1, 2027 and lists Alissa R Boston, Owner, as its authorized official.

NPPES Registry Identity

NPI1326703232
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameDIVINE LIGHT HOSPICE LLC
Location Address5750 BROOK HOLLOW PKWY STE 104Norcross, GA 30071-3515
Mailing Address5750 Brook Hollow Pkwy Ste 104Norcross, GA 30071-3515 · (770) 696-1703 · Fax (470) 226-3371
Fax(470) 226-3371
Organization SubpartNo
Authorized OfficialAlissa R BostonOwner · (770) 696-1703
Enumeration DateNovember 4, 2021
NPPES CertifiedNovember 4, 2021
NPI 1326703232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
5750 BROOK HOLLOW PKWY STE 104, Norcross, GA 30071

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 11D2244468

Divine Light Hospice, LLC · Norcross, GA
Active · expires Dec 1, 2027
CLIA Number11D2244468
Laboratory TypeHospice
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorEnid Johnson
Laboratory Phone(770) 696-1703
Laboratory LocationDivine Light Hospice, LLC5750 Brook Hollow Parkway Suite 104, Norcross, GA 30071
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 Divine Light Hospice (CMS certification number 851559), from CMS Care Compare.

Divine Light Hospice

Hospice · Norcross, GA
CMS Certification Number851559
CMS RegionRegion 4
Medicare-Certified SinceSeptember 21, 2022
Location5750 Brook Hollow Pkwy, Suite 104Norcross, GA 30071 · Gwinnett County

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 Divine Light Hospice LLC's NPI number?

The NPI number for Divine Light Hospice LLC is 1326703232. It was assigned to this organization in the NPPES registry on November 4, 2021.

Where is Divine Light Hospice LLC located?

Divine Light Hospice LLC is located at 5750 Brook Hollow Pkwy Ste 104, Norcross, GA 30071. The listed phone number is (770) 696-1703.

What is Divine Light Hospice LLC's specialty?

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

Does Divine Light Hospice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2244468) is associated with this NPI, valid through December 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Divine Light Hospice LLC a Medicare-certified hospice?

Yes. Divine Light Hospice is a Medicare-certified hospice (CMS certification number 851559), certified since September 21, 2022.

When was this NPI record last updated?

The NPPES record for Divine Light Hospice LLC was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.