Organization Active NPI

Sapphire Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Conyers, GA
National Provider Identifier
1861181463
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SAPPHIRE HOSPICE AND PALLIATIVE CARE
Doing business as
Sapphire Hospice and Palliative Care
Practice address
1315 Milstead Rd NE Ste 101
Conyers, GA 30012-3824
Phone
(470) 528-0500
NPI assigned
May 1, 2023
Last updated
Nov 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Ella Stephenson, RNNPI 1346734217
Title
Administrator
Phone
(470) 217-8445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1315 Milstead Rd NE Ste 101
Conyers, GA 30012-3824

Mailing address

1315 Milstead Rd NE Ste 101
Conyers, GA 30012-3824
Phone (470) 528-0500

Other names 1

  • SAPPHIRE HOSPICE AND PALLIATIVE CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240531000320 GA Part A Provider - Hospice 3274975578 Practice locations: Conyers, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861181463. Details of each certification follow.

Hospice certification: CCN 851600

Legal name
SAPPHIRE HOSPICE AND PALLIATIVE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 29, 2024
Last certification
Jun 14, 2024
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Incorporated
Feb 17, 2023 in GA
Enrollment address
1315 Milstead Rd NE
Ste 101
Conyers, GA 30012-3824

Care Compare: Hospice

Medicare Care Compare
Listed as
Sapphire Hospice and Palliative Care, LLCCCN 851600 · All quality measures
Certified
Jul 29, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Ella Weaver Individual 5% Or Greater Direct Ownership InterestAdministrator Oct 6, 2023 100%
W-2 Managing EmployeeCeo Oct 6, 2023 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1861181463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 MILSTEAD RD NE STE 101",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123824",
            "telephone_number": "470-528-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 MILSTEAD RD NE STE 101",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123824",
            "telephone_number": "470-528-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPPHIRE HOSPICE AND PALLIATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "ELLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "470-217-8445",
        "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": "SAPPHIRE HOSPICE AND PALLIATIVE CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SAPPHIRE HOSPICE AND PALLIATIVE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.