Organization Active NPI

Shirley Harden Merritt

Doing business as Elderly and Independent

  • Home Health Agency
  • Monroe, GA
National Provider Identifier
1003924283
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHIRLEY HARDEN MERRITT
Doing business as
Elderly and Independent
Practice address
122 Ridgeway Dr
Monroe, GA 30655-5276
Phone
(770) 207-5426
NPI assigned
Aug 28, 2006
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Mrs. Shirley Harden Merritt, CNA
Title
Administrator/Owner
Phone
(770) 207-5426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

122 Ridgeway Dr
Monroe, GA 30655-5276

Mailing address

PO Box 703
Monroe, GA 30655-0703
Phone (770) 207-5426

Other names 1

  • Elderly and Independent Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1003924283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 703",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306550703",
            "telephone_number": "770-207-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 RIDGEWAY DR",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306555276",
            "telephone_number": "770-207-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY HARDEN MERRITT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "HARDEN",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "770-207-5426",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elderly and Independent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.