Organization Active NPI

Grateful Hospice LLC

  • Community Based Hospice Care Agency
  • Tucker, GA
National Provider Identifier
1720972524
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GRATEFUL HOSPICE LLC
Practice address
4500 Hugh Howell Rd Ste 785
Tucker, GA 30084-4723
Phone
(678) 592-4183
Fax
(470) 945-2121
NPI assigned
Jun 5, 2025
Last updated
Jun 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Karen Gail Smith Jackson, REGISTERED NURSE
Title
Administrator
Phone
(678) 592-4183

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

4500 Hugh Howell Rd Ste 785
Tucker, GA 30084-4723

Mailing address

6340 Robins Nest
Stone Mountain, GA 30087-4976
Phone (678) 592-4183

National Provider Directory

National Provider Directory

Locations

4500 Hugh Howell Rd
Ste 785
Tucker, GA 30084
Phone (678) 592-4183

NPI Registry JSON

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1720972524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 ROBINS NEST",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300874976",
            "telephone_number": "678-592-4183",
            "fax_number": "770-881-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 HUGH HOWELL RD STE 785",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844723",
            "telephone_number": "678-592-4183",
            "fax_number": "470-945-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRATEFUL HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "SMITH JACKSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-592-4183",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.