Eternal Hope Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ETERNAL HOPE HOSPICE

Practice address

123 N 18TH Street
Griffin, GA 30223-2264

Phone

(770) 229-4673

Fax

(678) 603-1624

NPI assigned

Feb 3, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Brenda G. Meeks

Title

Administrator

Phone

(770) 229-4373

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eternal Hope Hospice LLC Other name

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Hospice certification: CCN 111691

Legal name

ETERNAL HOPE HOSPICE

Doing business as

ETERNAL HOPE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 19, 2010

Last certification

May 27, 2022

Ownership / control type

Proprietary - Partnership

Organization structure

LLCProprietary

Enrollment address

123 N. 18TH Street
Griffin, GA 30223-2264

Listed as

Eternal Hope HospiceCCN 111691 · All quality measures

Ownership

For-Profit

Certified

Apr 19, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Owners & managing parties with NPI records 2

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

• Thomas Aaron Buice, M.D.

  • Family Medicine Physician
  • Barnesville, GA
  • NPI 1194754648

  Contracted Managing Employee

  CMS ownership
• Lori W Grogan, NP

  • Gerontology Nurse Practitioner
  • Griffin, GA
  • NPI 1790290583

  5% Or Greater Direct Ownership Interest, General Partnership Interest

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori W Grogan, NP

  • Gerontology Nurse Practitioner
  • Griffin, GA
  • NPI 1790290583
  Medicare reassignment NPD

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Cinna John Attar, MD

  • Internal Medicine Physician
  • Griffin, GA
  • NPI 1881157139

  Hospice

  Care Compare affiliation
• Thomas Aaron Buice, M.D.

  • Family Medicine Physician
  • Barnesville, GA
  • NPI 1194754648

  Hospice

  Care Compare affiliation
• Robert Hall, M.D.

  • Internal Medicine Physician
  • Griffin, GA
  • NPI 1316941396

  Hospice

  Care Compare affiliation
• Rahul Hooda, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Stockbridge, GA
  • NPI 1578634390
  Care Compare affiliation

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1861630543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N 18TH STREET",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302232264",
            "telephone_number": "770-229-4673",
            "fax_number": "678-603-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N 18TH STREET",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302232264",
            "telephone_number": "770-229-4673",
            "fax_number": "678-603-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAL HOPE HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "MEEKS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-229-4373",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "984261040A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eternal Hope Hospice LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Community Based Hospice Care Agency in Griffin, GA
• Providers in Griffin, 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 Sep 22, 2020; 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.