Organization Active NPI

Sacred Journey Hospice, LLC

  • Community Based Hospice Care Agency
  • McDonough, GA
National Provider Identifier
1306919683
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
075176H Issued in GA
Legal business name
SACRED JOURNEY HOSPICE, LLC
Practice address
138 Peach Dr
McDonough, GA 30253
Phone
(678) 583-0717
Fax
(678) 583-0712
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Timothy Whobrey
Title
Provider Enrollment
Phone
(502) 630-7249

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 075176H GA Primary
Inpatient Hospice 315D00000X 075176H GA

Addresses

Primary practice location

138 Peach Dr
McDonough, GA 30253

Mailing address

805 N Whittington Pkwy
Louisville, KY 40222-5186
Phone (502) 394-2100

Other identifiers 1

IdentifierTypeStateIssuer
054652053AMedicaidGA

Other names 2

  • Adoration Hospice Doing business as
  • Sacred Journey Hospice, Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111123000255 GA Part A Provider - Hospice 7416121702 Practice locations: McDonough, GA

Hospice certification: CCN 111599

Legal name
SACRED JOURNEY HOSPICE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 6, 2002
Last certification
Oct 12, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Feb 21, 2001 in GA
Enrollment address
138 Peach Dr
McDonough, GA 30253-4600

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Adoration HospiceCCN 111599
Ownership
For-Profit
Certified
Mar 6, 2002
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Sacred Journey Hospice LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

575 Professional Dr
Ste 165
Lawrenceville, GA 30046
Phone (678) 583-0717

125 Oak Hill Blvd
Newnan, GA 30265
Phone (678) 583-0717

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Kevin McDaniel Individual Corporate OfficerPresident and Manager Aug 5, 2021
Corporate DirectorPresident and Manager Aug 5, 2021
Walgreen Co Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 9, 2020 29%
Adoration Home Health & Hospice Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 9, 2020 100%
Allison Brown Individual Corporate OfficerSecretary Apr 5, 2022
Margaret Sherry Pemberton Individual Corporate OfficerVice President Dec 10, 2020
Brightspring Health Holdings Corp Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 9, 2020 100%
Phoenix Guarantor Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 9, 2020 100%
Res-Care Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 9, 2020 100%
Phoenix Intermediate Holdings Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 9, 2020 100%
Walgreens Holding Company Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 9, 2020 29%
Brightspring Health Services Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 9, 2020 100%
KKR Phoenix Aggregator L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 9, 2020 68%
KKR Americas Fund XII LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 9, 2020 60%
Whitney Rohleder Individual Corporate OfficerTreasurer Dec 10, 2020
Rescare Holdings Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 9, 2020 100%
Adoration Hospice Care LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Direct Ownership Interest Dec 9, 2020 100%
Brook Richards Individual W-2 Managing EmployeeAdministrator Sep 20, 2022

Facilities with the same owner 151

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

View all 151

Practitioners & affiliated clinicians

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1306919683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225186",
            "telephone_number": "502-394-2100",
            "fax_number": "502-394-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 PEACH DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "30253",
            "telephone_number": "678-583-0717",
            "fax_number": "678-583-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED JOURNEY HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "WHOBREY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "502-630-7249"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "075176H",
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "GA",
            "license": "075176H",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054652053A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adoration Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sacred Journey Hospice, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.