National Provider Identifier Database

SACRED JOURNEY HOSPICE LLC
Hospice Care, Community Based


Contact Information

SACRED JOURNEY HOSPICE, LLC
138 PEACH DR
MCDONOUGH, GA30253
Phone: 678-583-0717
Fax: 678-583-0712
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X
Hospice, Inpatient 315D00000X

* Indicates primary specialty

NPI Profile & details for SACRED JOURNEY HOSPICE, LLC

NPI Number 1306919683
Legal business name
LBN
SACRED JOURNEY HOSPICE, LLC
Authorized official TIMOTHY WHOBREY - (PROVIDER ENROLLMENT)
Entity Organization
Organization subpart No
Enumeration date 11/16/2006
Last updated 08/10/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 075176H
  • GA Medicaid: 054652053A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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