PRISMA HEALTH - BLOUNT MEMORIAL HOSPITAL INC.
NPI 1346236494
Hospice Care, Community Based in Maryville, TN

NPI Status: Active since September 23, 2005

Contact Information

1095 EAST LAMAR ALEXANDER PARKWAY
MARYVILLE, TN
ZIP 37804
Phone: (865) 977-5702
Fax: (865) 977-4787

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  • Organization
  • Hospice Care, Community Based
  • Accepts Insurance

About PRISMA HEALTH - BLOUNT MEMORIAL HOSPITAL INC.

This page provides the complete NPI Profile along with additional information for Prisma Health - Blount Memorial Hospital Inc., a provider established in Maryville, Tennessee operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1346236494 assigned on September 2005. The practitioner's primary taxonomy code is 251G00000X with license number 441526 (TN). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Kristi A Lawrence (Director Of Enrollment And Cvo)

NPI
1346236494
Provider Legal Name
PRISMA HEALTH - BLOUNT MEMORIAL HOSPITAL INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1095 EAST LAMAR ALEXANDER PARKWAY MARYVILLE, TN 37804
Location Phone
(865) 977-5702
Location Fax
(865) 977-4787
Mailing Address
300 E MCBEE AVE FL 4TH GREENVILLE, SC 29601
Mailing Phone
(864) 454-9604
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-23-2005
Last Update Date
10-13-2025
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According to the Hospice Quality Reporting Program (HQRP) data this facility is government and was certified on 11-14-1991 This facility was recently evaluated on the following quality measures: average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient enrolled in medicare advantage during one year, care provided in assisted living facility and care provided in home, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies
License No.
441526
License State
TN

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Bronze Essential (No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Gold Advantage (Virtual Urgent Care, No Referrals) - EPO
  • UHC Gold Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Gold Copay Focus (Virtual Urgent Care, No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Silver Advantage (Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KRISTI A LAWRENCE

Authorized Official Title
DIRECTOR OF ENROLLMENT AND CVO
Authorized Official Phone
(864) 522-8611

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0440011MEDICAID (05)TN 
156907OTHER (01)TNBLUE CROSS BLUE SHIELD

Hospice Care Information

The Centers for Medicare and Medicaid Services Hospice Quality Reporting Program (HQRP) data provides information on the quality of care that hospice facilities are providing to their patients. The quality reporting data gives families and patients the information they need to decide which hospice is right for them.

CMS Certification Number (CCN)441526
Ownership TypeGovernment
Medicare Certification Date11-14-1991
Quality Measure Measure Score
Average Daily Census
Number of patients cared for by a hospice on average each day
68.0
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year
1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage
Yes
Hospice served at least 1 patient enrolled in Medicare Advantage during one year
1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage
Yes
Care Provided in Assisted Living Facility
Percentage of days patients received care in an assisted living facility
6
Care Provided in Home
Percentage of days patients received care in home
70
Care Provided in Inpatient Hospice Facility
Percentage of days patients received care in an inpatient hospice
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Inpatient Hospital Facility
Percentage of days patients received care in an inpatient hospital
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Nursing Facility
Percentage of days patients received care in a nursing facility
21
Care Provided in All other locations
Percentage of days patients received care in other locations
2
Care Provided in Skilled Nursing Facility
Percentage of days patients received care in a skilled nursing facility
1
Hospice and Palliative Care Treatment Preferences
Facility observed rate
100.0
Beliefs & Values Addressed (if desired by the patient)
Facility observed rate
99.7
Hospice and Palliative Care Pain Screening
Facility observed rate
100.0
Hospice and Palliative Care Pain Assessment
Facility observed rate
100.0
Hospice and Palliative Care Dyspnea Screening
Facility observed rate
99.4
Hospice and Palliative Care Dyspnea Treatment
Facility observed rate
100.0
Patient Treated with an Opioid Who Are Given a Bowel Regimen
Facility observed rate
95.0
Hospice and Palliative Care Composite Process Measure
Facility observed rate
98.4
Hospice Visits in the Last Days of Life
468
Hospice Visits in the Last Days of Life
Facility observed rate
77.6
Hospice Care Index Overall Score
Facility observed rate
8.0
CHC/GIP provided (% days)
43,698
CHC/GIP provided (% days)
Facility observed rate
0.0
CHC/GIP provided (% days)
51
Gaps in nursing visits (% elections)
287
Gaps in nursing visits (% elections)
Facility observed rate
24.7
Gaps in nursing visits (% elections)
14
Early live discharges (% live discharges)
51
Early live discharges (% live discharges)
Facility observed rate
7.8
Early live discharges (% live discharges)
64
Late live discharges (% live discharges)
51
Late live discharges (% live discharges)
Facility observed rate
23.5
Late live discharges (% live discharges)
13
Burdensome transitions, Type 1(% live discharges)
51
Burdensome transitions, Type 1 (% live discharges)
Facility observed rate
7.8
Burdensome transitions, Type 1 (% live discharges)
56
Burdensome transitions, Type 2(% live discharges)
51
Burdensome transitions, Type 2 (% live discharges)
Facility observed rate
5.9
Burdensome transitions, Type 2 (% live discharges)
92
Per-beneficiary spending (U.S. dollars $)
635
Per-beneficiary spending (U.S. dollars $)
Facility observed rate
10,897
Per-beneficiary spending (U.S. dollars $)
17
Nurse care minutes per routine home care days (minutes)
43,665
Nurse care minutes per routine home care days (minutes)
Facility observed rate
19.7
Nurse care minutes per routine home care days (minutes)
94
Skilled nursing minutes on weekends (% minutes)
862,185
Skilled nursing minutes on weekends (% minutes)
Facility observed rate
7.0
Skilled nursing minutes on weekends (% minutes)
39
Visits near death (% decedents)
549
Visits near death (% decedents)
Facility observed rate
97.1
Visits near death (% decedents)
81
Percent of Patients with Cancer
Percentage of patients at hospice who had Cancer as their primary diagnosis
24
Percent of Patients with Circulatory/heart disease
Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis
15
Percent of Patients with Dementia
Percentage of patients at hospice who had Dementia as their primary diagnosis
18
Percent of Patients with Other Conditions
Percentage of patients at hospice who had some other conditions as their primary diagnosis
6
Percent of Patients with Respiratory disease
Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis
6
Percent of Patients with Stroke
Percentage of patients at hospice who had Stroke as their primary diagnosis
6
Provided Routine Home Care and other levels of care
Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level
Yes
Provided Routine Home Care only
The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level
No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1346236494, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 8 + 6 + 4 + 3 + 1 + 2 + 4 + 1 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1346236494.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346236494, enumerated as an "organization" on September 23, 2005.

The provider is located at 1095 EAST LAMAR ALEXANDER PARKWAY MARYVILLE, TN 37804 and the phone number is (865) 977-5702.

Hospice Care, Community Based with taxonomy code 251G00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.