Active NPI
Prescott Healthcare LLC
- In Home Supportive Care Agency
- Atlanta, GA
National Provider Identifier
1013531383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- PRESCOTT HEALTHCARE LLC
- Practice address
- 889 1/2 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1800 - Phone
- (404) 883-3302
- Fax
- (678) 515-0876
- NPI assigned
- Jun 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lateefah Aziz
- Title
- Administrator
- Phone
- (404) 883-3302
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
889 1/2 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1800
Mailing address
889 1/2 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1800
Phone (404) 883-3302
National Provider Directory
National Provider DirectoryLocations
889 Ralph David Abernathy Blvd SW
Atlanta, GA 30310
Phone (404) 883-3302
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591142400000",
"number": "1013531383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "889 1/2 RALPH DAVID ABERNATHY BLVD SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303101800",
"telephone_number": "404-883-3302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "889 1/2 RALPH DAVID ABERNATHY BLVD SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303101800",
"telephone_number": "404-883-3302",
"fax_number": "678-515-0876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESCOTT HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-03",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A",
"authorized_official_last_name": "AZIZ",
"authorized_official_first_name": "LATEEFAH",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "404-883-3302",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.