Organization Active NPI

Tapestry Healthcare LLC

Doing business as Tapestry Hospice

  • Community Based Hospice Care Agency
  • Kennesaw, GA
National Provider Identifier
1700408127
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2184660Tapestry Healthcare LLC2950 Cherokee Street NW Suite 900, Kennesaw, GA 30144Certificate of waiverMay 21, 2028

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.