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

NPI Status: Active since June 12, 2024

Contact Information

150 RIVERSIDE PKWY STE 115
FREDERICKSBURG, VA
ZIP 22406
Phone: (646) 671-0516

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  • Organization
  • Hospice Care, Community Based
  • CLIA Number: 49D2328484
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 08-10-2027

About GRACEFUL LEGACY HOSPICE LLC

This page provides the complete NPI Profile along with additional information for Graceful Legacy Hospice Llc, a provider established in Fredericksburg, Virginia operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1881436525 assigned on June 2024. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Texeria Jackson (Owner)

NPI
1881436525
Provider Name
GRACEFUL LEGACY HOSPICE LLC
Entity Type
Organization
Location Address
150 RIVERSIDE PKWY STE 115 FREDERICKSBURG, VA 22406
Location Phone
(646) 671-0516
Mailing Address
150 RIVERSIDE PKWY STE 115 FREDERICKSBURG, VA 22406
Mailing Phone
(646) 671-0516
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-12-2024
Last Update Date
06-12-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TEXERIA JACKSON

Authorized Official Title
OWNER
Authorized Official Phone
(646) 671-0516

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2328484
Facility Type
Hospice
Certificate Effective Date
August 11, 2025
Certificate Expiration Date
August 10, 2027
Laboratory Director
TEXERIA SANDERS-JACKSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Graceful Legacy Hospice Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1881436525, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
2
Doubled → 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 4 → 8 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 6 + 1 + 8 + 3 + 1 + 2 + 5 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1881436525.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Case Manager/Care Coordinator
150 RIVERSIDE PKWY STE 115
FREDERICKSBURG, VA 22406
In Home Supportive Care
150 RIVERSIDE PKWY STE 115
FREDERICKSBURG, VA 22406
Hospice Care, Community Based
150 RIVERSIDE PKWY STE 115
FREDERICKSBURG, VA 22406
Psychiatry & Neurology (Psychiatry)
150 RIVERSIDE PKWY STE 115
FREDERICKSBURG, VA 22406
Nurse Practitioner (Psychiatric/Mental Health)
150 RIVERSIDE PKWY STE 115
FREDERICKSBURG, VA 22406
In Home Supportive Care
150 RIVERSIDE PKWY STE 115, OFFICE #127
FREDERICKSBURG, VA 22406
Psychiatry & Neurology (Psychiatry)
150 RIVERSIDE PKWY STE 115
FREDERICKSBURG, VA 22406
Nurse Practitioner (Psychiatric/Mental Health)
150 RIVERSIDE PKWY STE 115
FREDERICKSBURG, VA 22406
Clinic/Center (Adult Day Care)
150 RIVERSIDE PKWY STE 115
FREDERICKSBURG, VA 22406
Durable Medical Equipment & Medical Supplies
150 RIVERSIDE PKWY STE 115
FREDERICKSBURG, VA 22406
Community/Behavioral Health
150 RIVERSIDE PKWY STE 115
FREDERICKSBURG, VA 22406

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881436525, enumerated as an "organization" on June 12, 2024.

The provider is located at 150 RIVERSIDE PKWY STE 115 FREDERICKSBURG, VA 22406 and the phone number is (646) 671-0516.

Hospice Care, Community Based with taxonomy code 251G00000X.