DIVINE GUARDIAN LLC
NPI 1609494327
Hospice Care, Community Based in Tucker, GA

Active since July 09, 2020CLIA 11D2231554 · Waiver
2321 4TH ST STE 210, TUCKER, GA 30084(404) 513-9330 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divine Guardian Llc NPPES

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

DIVINE GUARDIAN LLC (NPI 1609494327) is a healthcare organization registered as a hospice care, community based in Tucker, Georgia and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through August 3, 2027 and lists Miranda Eskridge, Owner, as its authorized official.

NPPES Registry Identity

NPI1609494327
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameDIVINE GUARDIAN LLC
Location Address2321 4TH ST STE 210Tucker, GA 30084-8516
Mailing Address2321 4th St Ste 210Tucker, GA 30084-8516 · (404) 513-9330
Organization SubpartNo
Authorized OfficialMiranda EskridgeOwner · (404) 513-9330
Enumeration DateJuly 9, 2020
NPPES CertifiedJuly 9, 2020
NPI 1609494327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
2321 4TH ST STE 210, Tucker, GA 30084

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 11D2231554

Divine Guardian LLC · Tucker, GA
Active · expires Aug 3, 2027
CLIA Number11D2231554
Laboratory TypeHospice
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorMiranda Eskridge
Laboratory Phone(404) 513-9330
Laboratory LocationDivine Guardian LLC2321 4th Street Suite 120, Tucker, GA 30084
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 Divine Guardian, LLC (CMS certification number 851582), from CMS Care Compare.

Divine Guardian, LLC

Hospice · Tucker, GA
CMS Certification Number851582
CMS RegionRegion 4
Medicare-Certified SinceSeptember 26, 2023
Location2321 4th Street, Suite 210Tucker, GA 30084

Other Providers at the Same Location NPPES

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

Registered Nurse
2321 4TH ST STE 210
TUCKER, GA 30084

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 Guardian LLC's NPI number?

The NPI number for Divine Guardian LLC is 1609494327. It was assigned to this organization in the NPPES registry on July 9, 2020.

Where is Divine Guardian LLC located?

Divine Guardian LLC is located at 2321 4th St Ste 210, Tucker, GA 30084. The listed phone number is (404) 513-9330.

What is Divine Guardian LLC's specialty?

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

Does Divine Guardian LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2231554) is associated with this NPI, valid through August 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Divine Guardian LLC a Medicare-certified hospice?

Yes. Divine Guardian, LLC is a Medicare-certified hospice (CMS certification number 851582), certified since September 26, 2023.

When was this NPI record last updated?

The NPPES record for Divine Guardian LLC was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.