Organization Active NPI

SB Healthcare, LLC

  • Community Based Hospice Care Agency
  • Lawrenceville, GA
National Provider Identifier
1003273095
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SB HEALTHCARE, LLC
Practice address
2000 Riverside Pkwy
Suite 107
Lawrenceville, GA 30043-5926
Phone
(678) 878-3215
Fax
(678) 878-3341
NPI assigned
Jan 21, 2016
Organization subpart
Yes
Parent organization
BRIDGEWAY HOSPICE HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christopher Smith
Title
Ceo
Phone
(205) 949-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

2000 Riverside Pkwy
Suite 107
Lawrenceville, GA 30043-5926

Mailing address

135 Gemini Cir Ste 202
Birmingham, AL 35209-5842
Phone (205) 949-0400

Other names 1

  • BridgeWay Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160325000851 GA Part A Provider - Hospice 3971800574 Practice locations: Lawrenceville, GA
O20170928000943 GA Part B Supplier - Clinic/Group Practice 3971800574 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Lawrenceville, GA

Hospice certification: CCN 111780

Legal name
SB HEALTHCARE, LLC
Doing business as
AFFINITY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 18, 2016
Last certification
Mar 14, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
2000 Riverside Pkwy
Ste 107
Lawrenceville, GA 30043-5926

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Affinity HospiceCCN 111780
Ownership
For-Profit
Certified
Aug 18, 2016
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
SB Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ray L Shrout Individual 5% Or Greater Indirect Ownership Interest Dec 17, 2021 11%
Corporate OfficerCeo Jun 14, 2019
W-2 Managing EmployeeCeo Jun 14, 2019
LLR Equity Partners VI LP Organization, Philadelphia, PA 5% Or Greater Indirect Ownership Interest Dec 17, 2021 35.6%
LLR VI LL-Ah LP Organization, Philadelphia, PA 5% Or Greater Indirect Ownership Interest Dec 17, 2021 15.8%
LLR LP Co-Invest VI-Ah LLC Organization, Philadelphia, PA LLC 5% Or Greater Indirect Ownership Interest Dec 17, 2021 9.5%
SB Healthcare, LLC Organization, Marietta, GA LLC, For-profit 5% Or Greater Direct Ownership Interest Aug 3, 2015 100%
Operational/Managerial Control Aug 3, 2015 100%
Affinity Hospice Intermediate Holdings LLC Organization, Birmingham, AL LLC 5% Or Greater Indirect Ownership Interest Dec 17, 2021 100%
Christopher Smith Individual Corporate OfficerCeo Sep 29, 2025 100%
Fosh Holdings LLC Organization, Key Largo, FL LLC 5% Or Greater Indirect Ownership Interest Dec 17, 2021 11.8%
Dragonfly Finance Holdco LLC Organization, Birmingham, AL LLC 5% Or Greater Indirect Ownership Interest Dec 17, 2021 100%
Adam C Cruse Individual Corporate OfficerChief Financial Officer Jul 15, 2024 100%
Marilyn Salada Ligon Individual W-2 Managing EmployeeMD; Nov 7, 2024
Go IV Equalization (Eci) LP Organization, New York, NY 5% Or Greater Indirect Ownership Interest Nov 4, 2022 9.4%
LLR VI-Ah LLC Organization, Philadelphia, PA LLC 5% Or Greater Indirect Ownership Interest Dec 17, 2021 35.6%
Affinity Hospice Holdings, LLC Organization, Birmingham, AL LLC 5% Or Greater Indirect Ownership Interest Jun 14, 2019 100%
LLR Equity Partners International VI LP Organization, Philadelphia, PA 5% Or Greater Indirect Ownership Interest Dec 17, 2021 15.8%
Affinity Hospice Ultimate Holdings LLC Organization, Birmingham, AL LLC 5% Or Greater Indirect Ownership Interest Dec 17, 2021 100%
LLR Equity Partners VI Co-Invest LP Organization, Philadelphia, PA 5% Or Greater Indirect Ownership Interest Dec 17, 2021 9.5%
Franklin Park Co-Investment Fund V LP Organization, Bala Cynwyd, PA 5% Or Greater Indirect Ownership Interest Dec 17, 2021 6.2%
Bridgeway Hospice Holdings LLC Organization, Marietta, GA LLC 5% Or Greater Direct Ownership Interest Jun 14, 2019 100%
Cheryl Johnson Individual W-2 Managing EmployeeAd; Feb 7, 2026 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1003273095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GEMINI CIR STE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095842",
            "telephone_number": "205-949-0400",
            "fax_number": "205-949-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 RIVERSIDE PKWY",
            "address_2": "SUITE 107",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435926",
            "telephone_number": "678-878-3215",
            "fax_number": "678-878-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SB HEALTHCARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIDGEWAY HOSPICE HOLDINGS, LLC",
        "enumeration_date": "2016-01-21",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-949-0400"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BridgeWay Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BridgeWay Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.