NPIMap

Organization Active NPI

Janic Healthcare Services, LLC

  • Nursing Care Agency
  • Stone Mountain, GA
National Provider Identifier
1013643741
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
JANIC HEALTHCARE SERVICES, LLC
Doing business as
Janic Healthcare Services, LLC
Practice address
778 Rays Rd Ste 103
Stone Mountain, GA 30083-3107
Phone
(678) 626-6696
Fax
(404) 478-8409
NPI assigned
Jul 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Dr. Joseph Ani
Title
Administrator
Phone
(404) 964-6494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

778 Rays Rd Ste 103
Stone Mountain, GA 30083-3107

Mailing address

778 Rays Rd Ste 103
Stone Mountain, GA 30083-3107
Phone (678) 626-6696

Other identifiers 1

IdentifierTypeStateIssuer
PHCP011489OtherGAGEORGIA DEPARTMENT OF COMMUNITY HEALTH - DCH

Other names 1

  • Janic Healthcare Services, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Janic Healthcare Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1013643741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 RAYS RD STE 103",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833107",
            "telephone_number": "678-626-6696",
            "fax_number": "404-478-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 RAYS RD STE 103",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833107",
            "telephone_number": "678-626-6696",
            "fax_number": "404-478-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANIC HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "ANI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-964-6494",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA DEPARTMENT OF COMMUNITY HEALTH - DCH",
            "identifier": "PHCP011489",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Janic Healthcare Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.