JUMPSTART HOSPICE & PALLIATIVE CARE LLC
NPI 1417843236
Hospice Care, Community Based in Lilburn, GA

Q: What is Jumpstart Hospice & Palliative Care LLC's specialty?

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

Active since June 17, 2025CLIA 11D2314520 · Waiver

3100 FIVE FORKS TRICKUM RD SW STE 503B, LILBURN, GA 30047(678) 333-3331(678) 802-6167 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2025, Jun 17, 2025 (2 updates tracked since 2025).

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About Jumpstart Hospice & Palliative Care Llc NPPES

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

JUMPSTART HOSPICE & PALLIATIVE CARE LLC (NPI 1417843236) is a healthcare organization registered as a hospice care, community based in Lilburn, Georgia and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through November 20, 2026 and lists Nichole Yahtal, Owner, as its authorized official.

NPPES Registry Identity

NPI1417843236

Entity TypeOrganization

Primary Taxonomy251G00000X

Legal Business NameJUMPSTART HOSPICE & PALLIATIVE CARE LLC

Location Address3100 FIVE FORKS TRICKUM RD SW STE 503BLilburn, GA 30047-1888

Mailing Address3100 Five Forks Trickum Rd Sw Ste 503bLilburn, GA 30047-1888 · (678) 333-3331 · Fax (678) 802-6167

Phone(678) 333-3331

Fax(678) 802-6167

Organization SubpartNo

Authorized OfficialNichole YahtalOwner · (678) 499-1102

Enumeration DateJune 17, 2025

Last NPPES UpdateAugust 14, 20252 updates tracked since enumeration

NPPES CertifiedAugust 12, 2025

✔ NPI 1417843236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies

Taxonomy Code251G00000X

3100 FIVE FORKS TRICKUM RD SW STE 503B, Lilburn, GA 30047

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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 11D2314520

Jumpstart Hospice And Palliative Care LLC · Lilburn, GA

Active · expires Nov 20, 2026

CLIA Number11D2314520

Laboratory TypeHospice

Certificate Effective DateNovember 21, 2024

Certificate Expiration DateNovember 20, 2026

Laboratory DirectorNichole Yahtal

Laboratory Phone(678) 333-3331

Laboratory LocationJumpstart Hospice And Palliative Care LLC3100 Five Forks Trickum Road, Suite 503 B, Lilburn, GA 30047

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

KIMBERLY WHITE

Home Health Aide

3100 FIVE FORKS TRICKUM RD SW STE 503B
LILBURN, GA 30047

Gwinnett County (678) 333-3331

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 Jumpstart Hospice & Palliative Care LLC's NPI number?

The NPI number for Jumpstart Hospice & Palliative Care LLC is 1417843236. It was assigned to this organization in the NPPES registry on June 17, 2025.

Where is Jumpstart Hospice & Palliative Care LLC located?

Jumpstart Hospice & Palliative Care LLC is located at 3100 Five Forks Trickum Rd SW Ste 503B, Lilburn, GA 30047. The listed phone number is (678) 333-3331.

What is Jumpstart Hospice & Palliative Care LLC's specialty?

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

Does Jumpstart Hospice & Palliative Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2314520) is associated with this NPI, valid through November 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jumpstart Hospice & Palliative Care LLC was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.