Organization Active NPI

Tapestry Hospice of McDonough,LLC

  • Community Based Hospice Care Agency
  • McDonough, GA
National Provider Identifier
1669745006
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
TAPESTRY HOSPICE OF MCDONOUGH,LLC
Practice address
1335 McDonough Pkwy
McDonough, GA 30253-7072
Phone
(770) 692-5115
Fax
(770) 692-5101
NPI assigned
Feb 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Mr. Andrew Jerome Nall, RN
Title
Owner
Phone
(678) 672-8470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1335 McDonough Pkwy
McDonough, GA 30253-7072

Mailing address

1335 McDonough Pkwy
McDonough, GA 30253-7072
Phone (770) 692-5115

National Provider Directory

National Provider Directory

Locations

1335 McDonough Pkwy
McDonough, GA 30253
Phone (678) 583-2269

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1669745006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 MCDONOUGH PKWY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537072",
            "telephone_number": "770-692-5115",
            "fax_number": "770-692-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 MCDONOUGH PKWY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537072",
            "telephone_number": "770-692-5115",
            "fax_number": "770-692-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAPESTRY HOSPICE OF MCDONOUGH,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "NALL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-672-8470",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.