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GRACEFUL LEGACY HOSPICE LLC
NPI 1881436525
Hospice Care, Community Based in Fredericksburg, VA

Active since June 12, 2024CLIA 49D2328484 · Waiver
150 RIVERSIDE PKWY STE 115, FREDERICKSBURG, VA 22406(646) 671-0516 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Graceful Legacy Hospice Llc NPPES

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

GRACEFUL LEGACY HOSPICE LLC (NPI 1881436525) is a healthcare organization registered as a hospice care, community based in Fredericksburg, Virginia and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through August 10, 2027 and lists Texeria Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1881436525
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameGRACEFUL LEGACY HOSPICE LLC
Location Address150 RIVERSIDE PKWY STE 115Fredericksburg, VA 22406-1094
Mailing Address150 Riverside Pkwy Ste 115Fredericksburg, VA 22406-1094 · (646) 671-0516
Phone(646) 671-0516
Organization SubpartNo
Authorized OfficialTexeria JacksonOwner · (646) 671-0516
Enumeration DateJune 12, 2024
NPPES CertifiedJune 12, 2024
✔ NPI 1881436525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
150 RIVERSIDE PKWY STE 115, Fredericksburg, VA 22406
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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 49D2328484

Graceful Legacy Hospice LLC · Fredericksburg, VA
Active · expires Aug 10, 2027
CLIA Number49D2328484
Laboratory TypeHospice
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorTexeria Sanders-Jackson
Laboratory Phone(540) 530-5554
Laboratory LocationGraceful Legacy Hospice LLC150 Riverside Pkwy, Ste 115, Fredericksburg, VA 22406
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

MRS. JENNIFER YUCHNITZ GARNER NP
Nurse Practitioner (Psychiatric/Mental Health)
150 RIVERSIDE PKWY STE 115
FREDERICKSBURG, VA 22406
Stafford County (833) 351-8255
LEGACY HOSPICE CARE LLC
Hospice Care, Community Based
150 RIVERSIDE PKWY STE 115
FREDERICKSBURG, VA 22406
Stafford County (646) 671-0516
AMY LOWRY MD
Psychiatry & Neurology (Psychiatry)
150 RIVERSIDE PKWY STE 115
FREDERICKSBURG, VA 22406
Stafford County (833) 351-8255
CHARNELE MARDNER QDDP
Case Manager/Care Coordinator
150 RIVERSIDE PKWY STE 115
FREDERICKSBURG, VA 22406
Stafford County (540) 530-5545
TRANQUILITY MENTAL HEALTH SERVICES, LLC
Community/Behavioral Health
150 RIVERSIDE PKWY STE 115
FREDERICKSBURG, VA 22406
Stafford County (434) 210-2016
SONYA R ISLER NP
Nurse Practitioner (Psychiatric/Mental Health)
150 RIVERSIDE PKWY STE 115
FREDERICKSBURG, VA 22406
Stafford County (833) 351-8255
APEX MED SUPPLIES LLC
Durable Medical Equipment & Medical Supplies
150 RIVERSIDE PKWY STE 115
FREDERICKSBURG, VA 22406
Stafford County (437) 826-9690
FULL ARMOR SUPPORTIVE CARE, LLC
In Home Supportive Care
150 RIVERSIDE PKWY STE 115, OFFICE #127
FREDERICKSBURG, VA 22406
Stafford County (540) 300-6281

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 Graceful Legacy Hospice LLC's NPI number?

The NPI number for Graceful Legacy Hospice LLC is 1881436525. It was assigned to this organization in the NPPES registry on June 12, 2024.

Where is Graceful Legacy Hospice LLC located?

Graceful Legacy Hospice LLC is located at 150 Riverside Pkwy Ste 115, Fredericksburg, VA 22406. The listed phone number is (646) 671-0516.

What is Graceful Legacy Hospice LLC's specialty?

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

Does Graceful Legacy Hospice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2328484) is associated with this NPI, valid through August 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Graceful Legacy Hospice LLC was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.