Blue Summit Hospice and Palliative Care, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BLUE SUMMIT HOSPICE AND PALLIATIVE CARE, INC

Practice address

2151 Fountain Dr Ste 306
Snellville, GA 30078-6752

Phone

(470) 365-2657

Fax

(470) 359-5886

NPI assigned

Sep 20, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda McKissick

Title

Owner/Admin

Phone

(470) 365-2657

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Hospice certification: CCN 851545

Legal name

BLUE SUMMIT HOSPICE AND PALLIATIVE CARE, INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 21, 2021

Last certification

May 21, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 8, 2022 in DE

Enrollment address

2151 Fountain Dr
Ste 306
Snellville, GA 30078-6752

Listed as

Blue Summit Hospice and Palliative Care, IncCCN 851545 · All quality measures

Ownership

For-Profit

Certified

May 21, 2021

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Blue Summit Palliative Care LLC

  • Case Management Agency
  • Roswell, GA
  • NPI 1841017985

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Karen Marie May, MD

  • Emergency Medicine Physician
  • Atlanta, GA
  • NPI 1669678744

  Contracted Managing Employee, Operational/Managerial Control

  CMS ownership

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Ascende Home Hospice & Healthcare

  • Community Based Hospice Care Agency
  • Snellville, GA
  • NPI 1952815730

  Acquired from, 2022-09-13

  CMS change of ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Marie May, MD

  • Emergency Medicine Physician
  • Atlanta, GA
  • NPI 1669678744
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Karen Marie May, MD

  • Emergency Medicine Physician
  • Atlanta, GA
  • NPI 1669678744

  Hospice

  Care Compare affiliation
• Raxit Rajesh Patel, MD

  • Pulmonary Disease Physician
  • Canton, GA
  • NPI 1417118605

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1245953819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 FOUNTAIN DR STE 306",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786752",
            "telephone_number": "470-365-2657",
            "fax_number": "470-359-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 FOUNTAIN DR STE 306",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786752",
            "telephone_number": "470-365-2657",
            "fax_number": "470-359-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SUMMIT HOSPICE AND PALLIATIVE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "MCKISSICK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "470-365-2657"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "EMR Company Emails",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2151 Fountain Dr Ste 306",
            "city": "Snellville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300786752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Blenda C. Sing, Ms, LPC, Mac, CCFC, PC
• Blessing Keepers Adult Living LLC
• Cassidy Blewett, RBT
• Blossom Private Duty Care LLC
• Blue Resilience LLC
• Blue Water Anesthesia, LLC
• Olivia Boczniewicz, RBT
• Body of Health and Life, LLC
• Robin Matney Boggess, NP
• Rosetta Hill Bolden, LPN

• Community Based Hospice Care Agency in Snellville, GA
• Providers in Snellville, GA by specialty
• Community Based Hospice Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.