Jireh Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

JIREH HOSPICE LLC

Practice address

2302 Parklake Dr NE # 371
Atlanta, GA 30345-2896

Phone

(470) 870-7155

NPI assigned

May 25, 2024

Last updated

May 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracy Bennett

Title

Ceo

Phone

(470) 870-7155

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1716595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716595200000",
    "number": "1518707884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 PARKLAKE DR NE # 371",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452896",
            "telephone_number": "470-870-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 PARKLAKE DR NE # 371",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452896",
            "telephone_number": "470-870-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIREH HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-25",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-870-7155"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.