Organization Active NPI

Altruistic in Home and Personal Care Services LLC

  • Home Health Agency
  • Kennesaw, GA
National Provider Identifier
1003621483
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ALTRUISTIC IN HOME AND PERSONAL CARE SERVICES LLC
Practice address
1300 Ridenour Blvd NW
Kennesaw, GA 30152-4501
Phone
(687) 803-5881
Fax
(678) 803-5874
NPI assigned
Feb 11, 2025
Last updated
Feb 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Joi Ford
Title
Phlebotomist
Phone
(678) 523-8842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1300 Ridenour Blvd NW
Kennesaw, GA 30152-4501

Mailing address

1300 Ridenour Blvd NW
Kennesaw, GA 30152-4501
Phone (678) 803-5881

National Provider Directory

National Provider Directory

Locations

1300 Ridenour Blvd NW
Kennesaw, GA 30152
Phone (678) 733-5036

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1003621483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 RIDENOUR BLVD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524501",
            "telephone_number": "678-803-5881",
            "fax_number": "678-803-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 RIDENOUR BLVD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524501",
            "telephone_number": "687-803-5881",
            "fax_number": "678-803-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTRUISTIC IN HOME AND PERSONAL CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "JOI",
        "authorized_official_title_or_position": "PHLEBOTOMIST",
        "authorized_official_telephone_number": "678-523-8842"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.