Active NPI
Tapestry Healthcare LLC
Doing business as Tapestry Hospice
- Community Based Hospice Care Agency
- Kennesaw, GA
National Provider Identifier
1700408127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- TAPESTRY HEALTHCARE LLC
- Doing business as
- Tapestry Hospice
- Practice address
- 2950 Cherokee St NW Ste 900
Kennesaw, GA 30144-6505 - Phone
- (470) 221-0216
- Fax
- (404) 393-5586
- NPI assigned
- May 7, 2020
- Last updated
- May 7, 2020
- 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
- Andrew J Nall, RN
- Title
- Owner
- Phone
- (470) 221-0216
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2950 Cherokee St NW Ste 900
Kennesaw, GA 30144-6505
Mailing address
2950 Cherokee St NW Ste 900
Kennesaw, GA 30144-6505
Phone (470) 221-0216
Other names 1
- Tapestry Hospice
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2184660 | Tapestry Healthcare LLC | Certificate of waiver | May 21, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588809600000",
"number": "1700408127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 CHEROKEE ST NW STE 900",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301446505",
"telephone_number": "470-221-0216",
"fax_number": "404-393-5586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 CHEROKEE ST NW STE 900",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301446505",
"telephone_number": "470-221-0216",
"fax_number": "404-393-5586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAPESTRY HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-07",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A",
"authorized_official_last_name": "NALL",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "470-221-0216",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tapestry Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.