Active NPI
Grace Hospice Services LLC
- Hospice and Palliative Medicine (Family Medicine) Physician
- Snellville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- Legal business name
- GRACE HOSPICE SERVICES LLC
- Practice address
- 2398 Lenora Church Rd
Snellville, GA 30078-6921 - Phone
- (770) 355-7778
- NPI assigned
- Dec 5, 2017
- Last updated
- Dec 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gaynell Robinson
- Title
- Owner
- Phone
- (770) 355-7778
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | NU | Primary |
Addresses
Primary practice location
2398 Lenora Church Rd
Snellville, GA 30078-6921
Mailing address
2398 Lenora Church Rd
Snellville, GA 30078-6921
Phone (770) 355-7778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
2398 Lenora Church Rd
Snellville, GA 30078
Phone (770) 355-7778
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Mar 13, 2024 | Change of Ownership | Serenity Bay Hospice |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Serenity Bay Hospice
- Community Based Hospice Care Agency
- Snellville, GA
- NPI 1992558753
Sold to, 2024-03-13
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Home Health Registered Nurse
- Snellville, GA
- NPI 1407601339
-
- Speech-Language Pathologist
- Lilburn, GA
- NPI 1891915096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701907200000",
"number": "1194230763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2398 LENORA CHURCH RD",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300786921",
"telephone_number": "770-355-7778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2398 LENORA CHURCH RD",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300786921",
"telephone_number": "770-355-7778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE HOSPICE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-05",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "GAYNELL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-355-7778"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.