Active NPI
Hospice of Divine Mercy Inc
- Community Based Hospice Care Agency
- Jonesboro, GA
National Provider Identifier
1770448623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Jonesboro, GA
- NPI 1417885831
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.