MEDICARE: GRATEFUL HEARTS HEALTHCARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1154276723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRATEFUL HEARTS HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	2470 WINDY HILL RD SE STE 300
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30067-8621
Country	:	US
Telephone Number	:	347-779-3025
Fax Number	:

Provider Business Practice Location Address
First Line	:	2971 MEADOW LN
Second Line	:
City	:	POWDER SPRINGS
State	:	GA
Zip	:	30127-1870
Country	:	US
Telephone Number	:	347-779-3025
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	TAKESHIA LEWIS
Credential	:
Telephone Number	:	347-779-3025

Provider Enumeration Date	:	02/28/2026
Last Update Date	:	02/28/2026

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