DIVINE LIGHT HOSPICE LLC NPI 1326703232

NPI Information

  • NPI: 1326703232
  • Provider Name: DIVINE LIGHT HOSPICE LLC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • CLIA Number: 11D2244468
  • Address: 5750 BROOK HOLLOW PKWY STE 104
    NORCROSS, GA
    ZIP 30071
  • Phone: (770) 696-1703

Map and Directions

Get Directions

NPI Details

DIVINE LIGHT HOSPICE LLC is a hospice care community based in Norcross, GA. DIVINE LIGHT HOSPICE LLC NPI is 1326703232. The provider is registered as an organization entity type.

The provider's business location address is:

5750 BROOK HOLLOW PKWY STE 104
NORCROSS, GA
ZIP 30071-515
Phone: (770) 696-1703
Fax: (470) 226-3371

The provider's authorized official is Alissa R Boston .
The authorized official title is Owner and has the following contact phone number (770) 696-1703.

The CLIA number assigned to this NPI record is 11D2244468 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2021 and was last updated on 11/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251G00000XHospice Care, Community BasedYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI