HOMESTEAD HOSPICE OF LAWRENCESVILLE, LLC
NPI 1336864875
Clinic/Center in Carrollton, GA

Active since October 06, 2022
497 ROME ST, CARROLLTON, GA 30117(770) 462-1047 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 4, 2026, Mar 11, 2026, Nov 12, 2025 and 3 more (6 updates tracked since 2022).

About Homestead Hospice Of Lawrencesville, Llc NPPES

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

HOMESTEAD HOSPICE OF LAWRENCESVILLE, LLC (NPI 1336864875), doing business as Eternal Faith Palliative And Hospice Care, is a healthcare organization registered as a clinic/center in Carrollton, Georgia and active in the NPI registry since October 2022. The organization lists James Michael Douthitt, Cfo, as its authorized official.

NPPES Registry Identity

NPI1336864875
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameHOMESTEAD HOSPICE OF LAWRENCESVILLE, LLC
Location Address497 ROME STCarrollton, GA 30117-3108
Mailing AddressPo Box 733707Dallas, TX 75373-3707
Organization SubpartNo
Authorized OfficialJames Michael DouthittCfo · (940) 600-0598
Enumeration DateOctober 6, 2022
Last NPPES UpdateMay 4, 20266 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1336864875 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).
497 ROME ST, Carrollton, GA 30117

Other Names 2

Doing Business AsEternal Faith Palliative And Hospice 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 Lawrencesville, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Homestead Hospice Of Lawrencesville, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1861032187
497 ROME ST
Carrollton, GA 30117
(770) 462-1047
✔ PECOSSame address
Family Practice
NPI 1578519161
1325 RALPH DAVID ABERNATHY BLVD. SW JENCARE NEIGHBORHOOD MEDICAL CENTER WEST END, LLC
Atlanta, GA 30310
(404) 836-0136
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1992589691
2782 N COBB PKWY
Kennesaw, GA 30152
(770) 420-1092
✔ PECOS✔ Accepts Medicare40 mi
Nurse Practitioner
NPI 1548692270
2782 N COBB PKWY
Kennesaw, GA 30152
(770) 420-1092
✔ PECOS✔ Accepts Medicare40 mi
Nurse Practitioner
NPI 1255459335
5049 HIGHLAND HILLS PKWY
Stone Mountain, GA 30088
(678) 777-5995
✔ PECOS52 mi
Internal Medicine
NPI 1023035094
1035 RED BUD RD NE
Calhoun, GA 30701
(706) 879-4776
✔ PECOS✔ Accepts Medicare64 mi
Nurse Practitioner
NPI 1598439648
1601 HICKORY ST
Dalton, GA 30720
(706) 217-1926
✔ PECOS✔ Accepts Medicare84 mi
Nurse Practitioner
NPI 1629645544
2381 MASON AVE STE 100
Daytona Beach, FL 32117
(386) 366-6100
✔ PECOS✔ Accepts Medicare382 mi

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

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 Lawrencesville, LLC's NPI number?

The NPI number for Homestead Hospice Of Lawrencesville, LLC is 1336864875. It was assigned to this organization in the NPPES registry on October 6, 2022. The provider is doing business as Eternal Faith Palliative and Hospice Care and Traditions Health.

Where is Homestead Hospice Of Lawrencesville, LLC located?

Homestead Hospice Of Lawrencesville, LLC is located at 497 Rome St, Carrollton, GA 30117. The listed phone number is (770) 462-1047.

What is Homestead Hospice Of Lawrencesville, LLC's specialty?

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

Is Homestead Hospice Of Lawrencesville, LLC enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Homestead Hospice Of Lawrencesville, LLC. 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. The largest specialties are Nurse Practitioner (6), Family Practice (1) and Internal Medicine (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Homestead Hospice Of Lawrencesville, LLC was last updated on May 4, 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.