Organization Active NPI

Hospice of Divine Mercy Inc

  • Community Based Hospice Care Agency
  • Jonesboro, GA
National Provider Identifier
1770448623
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE OF DIVINE MERCY INC
Practice address
499 Arrowhead Blvd Ste 200
Jonesboro, GA 30236-1273
Phone
(678) 908-8870
NPI assigned
Dec 22, 2025
Last updated
Dec 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Authorized official

Name
Scholar Ibezim
Title
Owner
Phone
(678) 908-8870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

499 Arrowhead Blvd Ste 200
Jonesboro, GA 30236-1273

Mailing address

2272 Azalea Dr Ste a
Lawrenceville, GA 30043-2653
Phone (678) 908-8870

National Provider Directory

National Provider Directory
Tax ID family
Hospice of Divine Mercy Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1770448623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2272 AZALEA DR STE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432653",
            "telephone_number": "678-908-8870",
            "fax_number": "678-908-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 ARROWHEAD BLVD STE 200",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361273",
            "telephone_number": "678-908-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF DIVINE MERCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A",
        "authorized_official_last_name": "IBEZIM",
        "authorized_official_first_name": "SCHOLAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-908-8870"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.