Tapestry Hospice of Fort Oglethorpe

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

TAPESTRY HOSPICE OF FORT OGLETHORPE

Doing business as

Tapestry Hospice

Practice address

4966 Battlefield Pkwy
Ringgold, GA 30736-8071

Phone

(706) 858-1500

Fax

(706) 858-7040

NPI assigned

Jun 5, 2017

Organization subpart

No

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/Cfo

Phone

(678) 672-8470

Specialties & licenses 1

Addresses

Other names 1

• Tapestry Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Hospice certification: CCN 851547

Legal name

TAPESTRY HOSPICE OF FORT OGLETHORPE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 24, 2021

Last certification

Aug 4, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Mar 31, 2016 in GA

Enrollment address

3616 Atlanta Hwy
Ste 600
Flowery Branch, GA 30542-5765

Listed as

Tapestry Hospice of Fort Oglethorpe, LLCCCN 851547 · All quality measures

Ownership

For-Profit

Certified

Aug 24, 2021

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• David Grant Lovell, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Cartersville, GA
  • NPI 1376503086

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer

  CMS ownership

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1881123701",
    "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": "4966 BATTLEFIELD PKWY",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307368071",
            "telephone_number": "706-858-1500",
            "fax_number": "706-858-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAPESTRY HOSPICE OF FORT OGLETHORPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "NALL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/CFO",
        "authorized_official_telephone_number": "678-672-8470",
        "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"
        }
    ]
}

• Kimberly Watkins Stephens-Cohen, BASS, CADCII, MATC
• Judy Michelle Stephens, CADC II
• Annette Stout, LCSW, MAC
• April Michelle Summers, FNP
• Surgical Specialists, P.C.
• Richard Tate
• Blake William Taylor
• Hollie D Taylor, PHARMD
• Kimbali Anne Taylor, M.S., LPC, NCC
• Taylor Teel

• Community Based Hospice Care Agency in Ringgold, GA
• Providers in Ringgold, GA by specialty
• Community Based Hospice Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.

Verify at the official NPI Registry.