NPIMap

Organization Active NPI

Golden Rule Hospice, LLC

  • Community Based Hospice Care Agency
  • Alpharetta, GA
National Provider Identifier
1689047490
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
058-0421-H Issued in GA
Legal business name
GOLDEN RULE HOSPICE, LLC
Practice address
4080 McGinnis Ferry Rd
Suite 602
Alpharetta, GA 30005-3948
Phone
(470) 395-6567
NPI assigned
Nov 3, 2015
Last updated
Jan 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Shelisa Glynn, RN
Title
Administrator
Phone
(470) 395-6567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 058-0421-H GA Primary

Addresses

Primary practice location

4080 McGinnis Ferry Rd
Suite 602
Alpharetta, GA 30005-3948

Mailing address

4080 McGinnis Ferry Rd Ste 602
Alpharetta, GA 30005-1739
Phone (470) 395-6567

Other identifiers 1

IdentifierTypeStateIssuer
058-0421-HOtherGAGEORGIA DEPARTMENT OF COMMUNITY HEALTH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160308000878 GA Part A Provider - Hospice 1557667128 Practice locations: Alpharetta, GA; Atlanta, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689047490. Details of each certification follow.

Hospice certification: CCN 111776

Legal name
GOLDEN RULE HOSPICE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 28, 2016
Last certification
Sep 23, 2021
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Enrollment address
4080 McGinnis Ferry Road
Suite 602
Alpharetta, GA 30005

Care Compare: Hospice

Medicare Care Compare
Listed as
Golden Rule Hospice, LLC.CCN 111776 · All quality measures
Ownership
For-Profit
Certified
Apr 28, 2016
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

4080 McGinnis Ferry Rd
Ste 602
Alpharetta, GA 30005
Phone (470) 395-6567

2302 Parklake Dr NE
Ste 110
Atlanta, GA 30345
Phone (470) 395-6567

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Bennie L Brown Individual Contracted Managing EmployeeMD; Jun 21, 2023
Shelisa Glynn Individual Corporate OfficerCoo Jan 21, 2015
W-2 Managing EmployeeAd;Coo Jan 21, 2015
Operational/Managerial ControlCoo Jan 21, 2015
Shelley H Bianco Individual Contracted Managing EmployeeMD; Aug 10, 2015
Tiara Thorpe Individual W-2 Managing EmployeeCompliance Nurse Oct 26, 2021
Operational/Managerial Control Oct 26, 2021
Golden Rule Hospice Holdco, LLC Organization, Alpharetta, GA Created for acquisition, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 22, 2025 100%
Michael T Bianco Individual Contracted Managing EmployeeMD; Nov 11, 2022

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 11

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": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1689047490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 MCGINNIS FERRY RD STE 602",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300051739",
            "telephone_number": "470-395-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 MCGINNIS FERRY RD",
            "address_2": "SUITE 602",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053948",
            "telephone_number": "470-395-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN RULE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "GLYNN",
        "authorized_official_first_name": "SHELISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "470-395-6567",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": "058-0421-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA DEPARTMENT OF COMMUNITY HEALTH",
            "identifier": "058-0421-H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.