Creative Hospice Care, Inc
Organization Active NPI Community Based Hospice Care Agency · Bogart, GA
NPI 1326330010 · NPPES record last updated Apr 23, 2026
Key facts
- NPI
- 1326330010
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- CREATIVE HOSPICE CARE, INC
- Practice address
- 1561 Lenru Rd Ste a
Bogart, GA 30622-3334 - Phone
- (979) 704-6547
- NPI assigned
- May 12, 2011
- Organization subpart
- No
Authorized official
- Name
- James Michael Douthitt
- Title
- Cfo
- Phone
- (940) 600-5140
Owners & managing parties with NPI records 1
-
Robert W Klassen, MD
Owned or controlled facilities with NPI records 5
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 3
Facilities with the same owner 20
Practitioners 19
-
Erin Michele Graham, FNP
-
Maryjane N Randels, FNP-ENP
-
Maya Regina Trocheck, FNP-C
-
Anthony G Captain, M.D.
-
Kieran Alexander Cooper, M.D..
-
Amit K Dua, M.D.
-
Donald Griffin, M.D.
-
Heather Nicole Hammond, APRN FNP-BC
-
Andre' Reshaun Holmes, M.D.
-
Allison Kelley, FNP-C
-
Robert W Klassen, MD
-
Anthony C Onyegbula, D.O.
-
Urviben Rekshitkumar Patel, MD, MPH
-
Benitra Tripp, NP
-
Andrea D Turner, NP
Medicare Care Compare: Hospice
- Listed as
- Eternal Faith Hospice and Palliative Care
- Ownership
- For-Profit
- Certified
- Nov 11, 2011
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Hospice certification: CCN 111716
- Legal name
- CREATIVE HOSPICE CARE, INC.
- Doing business as
- ETERNAL FAITH HOSPICE AND PALLIATIVE CARE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Nov 11, 2011
- Last certification
- Jul 8, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 1561 Lenru Rd
Ste a
Bogart, GA 30622-3334
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Zenyth Partners II-a LP |
5% Or Greater Indirect Ownership Interest | Dec 3, 2025 | 50.12% |
| Zenyth Partners II GP LLC |
5% Or Greater Indirect Ownership Interest | Dec 3, 2025 | 9.94% |
| Lifecare Intermediate II LLC |
5% Or Greater Indirect Ownership Interest | Dec 3, 2025 | 100% |
| James M Douthitt |
Corporate Officer |
Dec 3, 2025 | |
| Lifecare Intermediate I LLC |
5% Or Greater Indirect Ownership Interest | Dec 3, 2025 | 100% |
| Robert W Klassen |
Contracted Managing Employee |
Dec 14, 2025 | |
| Lifecare Home Health Holdings LLC |
5% Or Greater Indirect Ownership Interest | Dec 3, 2025 | 100% |
| Lifecare Home Health Acquisition LLC |
5% Or Greater Indirect Ownership Interest | Dec 3, 2025 | 100% |
| Allstate Insurance Company |
5% Or Greater Indirect Ownership Interest | Dec 3, 2025 | 10.13% |
| Thrivent White Rose Fund XV Fund of Funds, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 3, 2025 | 7.99% |
| Lifecare Home Health Intermediate Sub LLC |
5% Or Greater Direct Ownership Interest | Dec 3, 2025 | 100% |
| Georgette T Robbins |
W-2 Managing Employee |
Apr 6, 2026 | |
| William D Alverson |
Corporate Officer |
Dec 3, 2025 | |
| Corporate Director | Dec 3, 2025 | ||
| Alpinvest Capm Holdings LLC |
5% Or Greater Indirect Ownership Interest | Dec 3, 2025 | 7.99% |
| Z1967 Limited |
5% Or Greater Indirect Ownership Interest | Dec 3, 2025 | 13.32% |
| The UCLA Foundation |
5% Or Greater Indirect Ownership Interest | Dec 3, 2025 | 6.66% |
| Megan Holden |
W-2 Managing Employee |
Dec 14, 2025 | |
| Lifecare Home Health Partners LLC |
5% Or Greater Indirect Ownership Interest | Dec 3, 2025 | 80.78% |
| Zenyth Partners II LP |
5% Or Greater Indirect Ownership Interest | Dec 3, 2025 | 30.66% |
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Traditions Health |
Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jun 27, 2006 |
| Eternal Faith Hospice and Palliative Care |
Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jun 27, 2006 |
| Traditions Health |
Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jun 27, 2006 |
| Eternal Faith Hospice and Palliative Care |
Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jun 27, 2006 |
| Eternal Faith Hospice and Palliative Care |
Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Jun 27, 2006 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110830000005 | GA | Part a Provider - Hospice | 6305942616 | Practice locations: Bogart, GA |
National Provider Directory
- Tax ID family
- Creative Hospice Care Inc
Locations
1561 Lenru Rd
Ste A
Bogart, GA 30622
Phone (706) 548-8444
10888 Crabapple Rd
Bldg 12
Roswell, GA 30075
Phone (678) 966-0077
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
1561 Lenru Rd Ste a
Bogart, GA 30622-3334
Mailing address
PO Box 733707
PO Box 733707
Dallas, TX 75373-3707
Phone (979) 704-6547
Other names
- Eternal Faith Hospice and Palliative Care
- Traditions Health
Other providers in Bogart, GA
- James Michael Cobb
- Nickie Cole
- Tamara Collins
- Catherine Colquitt
- Creative Hospice Care Inc
- Samuel Clark Cutler IV
- Saron Daniel
- Tamika Darden
- Deneshia Davenport
- Debra Alvis, PH.D., Inc
All providers in Bogart, GA · Community Based Hospice Care Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.