BLUE SUMMIT PALLIATIVE CARE LLC
NPI 1841017985
Case Management in Roswell, GA

NPI Status: Active since September 20, 2024

Contact Information

11113 HOUZE RD STE 150
ROSWELL, GA
ZIP 30076
Phone: (470) 395-2510

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  • Organization
  • Case Management
  • CLIA Number: 11D2284292
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 06-20-2027

About BLUE SUMMIT PALLIATIVE CARE LLC

This page provides the complete NPI Profile along with additional information for Blue Summit Palliative Care Llc, a provider established in Roswell, Georgia operating as a Case Management. The healthcare provider is registered in the NPI registry with number 1841017985 assigned on September 2024. The practitioner's primary taxonomy code is 251B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Amanda Delpozo Mckissick (Ceo)

NPI
1841017985
Provider Name
BLUE SUMMIT PALLIATIVE CARE LLC
Entity Type
Organization
Location Address
11113 HOUZE RD STE 150 ROSWELL, GA 30076
Location Phone
(470) 395-2510
Mailing Address
11113 HOUZE RD STE 150 ROSWELL, GA 30076
Mailing Phone
(470) 395-2510
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-20-2024
Last Update Date
09-20-2024
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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

Case Management

Taxonomy Code
251B00000X
Type
Agencies
Taxonomy Description
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM2500XAmbulatory Health Care Facilities

Clinic/Center
Medical Specialty

 

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

AMANDA DELPOZO MCKISSICK

Authorized Official Title
CEO
Authorized Official Phone
(470) 395-2510

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2284292
Facility Type
Hospice
Certificate Effective Date
June 21, 2025
Certificate Expiration Date
June 20, 2027
Laboratory Director
AMANDA DELPOZO MCKISSICK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Blue Summit Palliative Care Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1841017985, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
8
Unchanged
Pos 3
4
Doubled → 8
Pos 4
1
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
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 0 → 0 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 8 + 1 + 0 + 1 + 1 + 4 + 9 + 1 + 6 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1841017985.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Registered Nurse
11113 HOUZE RD STE 150
ROSWELL, GA 30076

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841017985, enumerated as an "organization" on September 20, 2024.

The provider is located at 11113 HOUZE RD STE 150 ROSWELL, GA 30076 and the phone number is (470) 395-2510.

Case Management with taxonomy code 251B00000X.