SACRED JOURNEY HOSPICE, LLC; NPI #1306919683

Contact Information

SACRED JOURNEY HOSPICE, LLC

138 PEACH DR
MCDONOUGH, GA 30253

Phone: 678-583-0717
Fax: 678-583-0712
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Hospice Care, Community Based	251G00000X	B4[14]	Hospice
Hospice, Inpatient	315D00000X

Indicates primary specialty

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NPI Profile & details for SACRED JOURNEY HOSPICE, LLC

NPI # 1306919683

LBN Legal business name SACRED JOURNEY HOSPICE, LLC

Authorized official TIMOTHY WHOBREY - (PROVIDER ENROLLMENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/16/2006

Last updated 08/10/2022 - About 4 years ago

Identifiers

GA	License #	075176H
GA	Medicaid	054652053A

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SACRED JOURNEY HOSPICE, LLC

Contact Information

Specialty

Hospice Care, Community Based

Hospice, Inpatient

NPI Profile & details for SACRED JOURNEY HOSPICE, LLC

Reviews for SACRED JOURNEY HOSPICE, LLC