NPI Code Detail JSON Logo

1770448623 NPI number — HOSPICE OF DIVINE MERCY INC

NPI Number: 1770448623
Health Care Provider/Practitioner: HOSPICE OF DIVINE MERCY INC

Information about “1770448623” NPI (HOSPICE OF DIVINE MERCY INC) exists in 1770448623 in HTML format HTML  |  1770448623 in plain Text format TXT  |  1770448623 in PDF (Portable Document Format) PDF  |  1770448623 in an XML format XML  formats.

NPI Number : 1770448623 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770448623",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HOSPICE OF DIVINE MERCY INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2272 AZALEA DR STE A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAWRENCEVILLE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30043-2653",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "678-908-8870",
    "MailingAddressFaxNumber": "678-908-8870",
    "FirstLinePracticeLocationAddress": "499 ARROWHEAD BLVD STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JONESBORO",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30236-1273",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "678-908-8870",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/22/2025",
    "LastUpdateDate": "12/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "IBEZIM",
    "AuthorizedOfficialFirstName": "SCHOLAR",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "678-908-8870",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251G00000X",
        "TaxonomyName": "Community Based Hospice Care Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.