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Contact Information

BLUE SUMMIT HOSPICE OF NORTH GEORGIA LLC
1124 N TENNESSEE STREET
SUITE 103, OFFICE 13
CARTERSVILLE, GA30120
 Phone: 470-365-2657
 Fax: 470-359-5886
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for BLUE SUMMIT HOSPICE OF NORTH GEORGIA LLC

NPI # 1568169183
LBN Legal business name BLUE SUMMIT HOSPICE OF NORTH GEORGIA LLC
Authorized official AMANDA DELPOZO MCKISSICK - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/14/2023
Last updated 02/14/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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