Provider Demographics
NPI:1861181463
Name:SAPPHIRE HOSPICE AND PALLIATIVE CARE
Entity type:Organization
Organization Name:SAPPHIRE HOSPICE AND PALLIATIVE CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:470-217-8445
Mailing Address - Street 1:1315 MILSTEAD RD NE STE 101
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30012-3824
Mailing Address - Country:US
Mailing Address - Phone:470-528-0500
Mailing Address - Fax:
Practice Address - Street 1:1315 MILSTEAD RD NE STE 101
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012-3824
Practice Address - Country:US
Practice Address - Phone:470-528-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based