MEDICARE: HEART N SOUL HOSPICE OF GEORGIA 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1639034713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART N SOUL HOSPICE OF GEORGIA LLC

Provider Business Mailing Address
First Line	:	51 CENTURY BLVD STE 110
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-3614
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 BATTLEFIELD CROSSING CT
Second Line	:
City	:	RINGGOLD
State	:	GA
Zip	:	30736-5176
Country	:	US
Telephone Number	:	678-333-7880
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	TRACY WOOD
Credential	:
Telephone Number	:	678-333-7880

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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