NPIMap

Organization Active NPI

St.Joe'S Homecare LLC

  • Home Health Aide
  • Kennesaw, GA
National Provider Identifier
1013782523
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
ST.JOE'S HOMECARE LLC
Doing business as
ST.JOE'S HOMECARE LLC
Practice address
1161 W Mill Dr NW
Kennesaw, GA 30152-5416
Phone
(404) 980-2313
NPI assigned
Nov 15, 2023
Organization subpart
Yes
Parent organization
ST.JOE'S HOMECARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Mr. Kojo Arhin
Title
Director
Phone
(404) 980-2313

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

1161 W Mill Dr NW
Kennesaw, GA 30152-5416

Mailing address

1161 W Mill Dr NW
Kennesaw, GA 30152-5416
Phone (404) 980-2313

Other names 1

  • ST.JOE'S HOMECARE LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stjoe'S Homecare LLC3 organizations share this tax ID, including this one
Part of
Stjoe'S Homecare LLC

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1013782523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 W MILL DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301525416",
            "telephone_number": "404-980-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 W MILL DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301525416",
            "telephone_number": "404-980-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.JOE'S HOMECARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST.JOE'S HOMECARE LLC",
        "enumeration_date": "2023-11-15",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "ARHIN",
        "authorized_official_first_name": "KOJO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-980-2313",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST.JOE'S HOMECARE LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ST.JOE'S HOMECARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 1, 2024; 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.