Dignity Hospice and Healthcare LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

DIGNITY HOSPICE AND HEALTHCARE LLC

Doing business as

Dignity Hospice and Healthcare LLC

Practice address

33 Upper Riverdale Rd SW Ste 19
Riverdale, GA 30274-2617

Phone

(678) 908-8870

NPI assigned

Apr 5, 2022

Last updated

Jun 23, 2025By 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

Dr. Scholar Ibezim, PHD,DNP.RNNPI 1184257404

Title

Owner

Phone

(678) 908-8870

Specialties & licenses 1

Addresses

Other names 1

• Dignity Hospice and Healthcare LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811638695. Details of each certification follow.

• CCN 851561 Hospice · Active · Details

Hospice certification: CCN 851561

Legal name

DIGNITY HOSPICE AND HEALTHCARE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 7, 2022

Last certification

Dec 7, 2022

Ownership / control type

Proprietary - Individual

Organization structure

LLCProprietary

Enrollment address

33 Upper Riverdale Rd SW
Ste 19
Riverdale, GA 30274-2617

Listed as

Dignity Hospice and Healthcare, LLCCCN 851561 · All quality measures

Certified

Dec 7, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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

Owners & managing parties with NPI records 1

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

• Jean Joseph Philippe-Dambreville, MD

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1639177066

  Contracted Managing Employee, Corporate Officer

  CMS ownership

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.

• Scholar Ibezim

  • Hospice Registered Nurse
  • Lawrenceville, GA
  • NPI 1184257404
  NPD Authorized official

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1811638695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 HARDIN HOME WAY STE 19",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436045",
            "telephone_number": "678-908-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 UPPER RIVERDALE RD SW STE 19",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742617",
            "telephone_number": "678-908-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HOSPICE AND HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "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",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD,DNP.RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dignity Hospice and Healthcare LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dignity Hospice and Healthcare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Community Based Hospice Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.