NPIMap

Organization Active NPI

Homecare Providers Services

  • Home Health Agency
  • Norcross, GA
National Provider Identifier
1003070178
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
534170545A Issued in GA
Legal business name
HOMECARE PROVIDERS SERVICES
Practice address
3949 Elmside Village LN
Suite F
Norcross, GA 30092-7216
Phone
(678) 760-8886
NPI assigned
Jul 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Sheila G Butt
Title
Adminstrator
Phone
(678) 760-8886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 534170545A GA Primary

Addresses

Primary practice location

3949 Elmside Village LN
Suite F
Norcross, GA 30092-7216

Mailing address

PO Box 895
Stone Mountain, GA 30086-0895
Phone (678) 760-8886

Other identifiers 1

IdentifierTypeStateIssuer
534170545AMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1003070178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 895",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300860895",
            "telephone_number": "678-760-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 ELMSIDE VILLAGE LN",
            "address_2": "SUITE F",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300927216",
            "telephone_number": "678-760-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE PROVIDERS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "BUTT",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "678-760-8886",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "534170545A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "534170545A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.