Active NPI
Sapphire Hospice and Palliative Care
- Community Based Hospice Care Agency
- Conyers, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2024
- 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
- Ella Stephenson, RN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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, LLC
- Certified
- Jul 29, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ella Weaver | 5% Or Greater Direct Ownership Interest | Oct 6, 2023 | 100% |
| W-2 Managing Employee | 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.
-
- Administrator Registered Nurse
- Conyers, GA
- NPI 1346734217
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.