Healthcare Provider Details

I. General information

NPI: 1679464010
Provider Name (Legal Business Name): CHRIST-LEE HOSPICE AND PALLIATIVE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 GEES MILL RD NE STE 326
CONYERS GA
30013-1364
US

IV. Provider business mailing address

2055 GEES MILL RD NE STE 326
CONYERS GA
30013-1364
US

V. Phone/Fax

Practice location:
  • Phone: 470-356-6285
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHRIST-LEE LIZAIRE GANTHIER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 404-931-1797