NPIMap

Organization Active NPI

Homestead Hospice of Lawrencesville, LLC

Doing business as Eternal Faith Palliative and Hospice Care

  • Clinic/Center
  • Carrollton, GA
National Provider Identifier
1336864875
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HOMESTEAD HOSPICE OF LAWRENCESVILLE, LLC
Doing business as
Eternal Faith Palliative and Hospice Care
Traditions Health
Practice address
497 Rome St
Carrollton, GA 30117-3108
Phone
(770) 462-1047
NPI assigned
Oct 6, 2022
Last updated
May 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
James Michael Douthitt
Title
Cfo
Phone
(940) 600-0598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

497 Rome St
Carrollton, GA 30117-3108

Mailing address

PO Box 733707
Dallas, TX 75373-3707

Other names 2

  • Eternal Faith Palliative and Hospice Care Doing business as
  • Traditions Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221107000064 GA Part B Supplier - Clinic/Group Practice 4183034382 Receives reassigned benefits from 8 practitioners
Practice locations: Carrollton, GA

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Eternal Faith Hospice and Palliative Care2 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.

Locations

497 Rome St
Carrollton, GA 30117
Phone (770) 462-1047

1585 Old Norcross Rd
Ste 205
Lawrenceville, GA 30046
Phone (678) 691-7151

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1336864875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733707",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 ROME ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173108",
            "telephone_number": "770-462-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD HOSPICE OF LAWRENCESVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "DOUTHITT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "940-600-0598"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eternal Faith Palliative and Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Traditions Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.