Active NPI
Tapestry Hospice of McDonough,LLC
- Community Based Hospice Care Agency
- McDonough, GA
National Provider Identifier
1669745006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Cartersville, GA
- NPI 1376503086
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.