NPIMap

Organization Active NPI

Mycare Home Solutions, LLC

  • In Home Supportive Care Agency
  • Pooler, GA
National Provider Identifier
1023540168
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
025-R-1319 Issued in GA
Legal business name
MYCARE HOME SOLUTIONS, LLC
Practice address
20 Aquinnah Dr
Pooler, GA 31322-8235
Phone
(912) 704-4848
NPI assigned
Mar 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Mrs. Lynette Fields
Title
Owner
Phone
(912) 704-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 025-R-1319 GA Primary

Addresses

Primary practice location

20 Aquinnah Dr
Pooler, GA 31322-8235

Mailing address

20 Aquinnah Dr
Pooler, GA 31322-8235
Phone (912) 704-4848

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1023540168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 AQUINNAH DR",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313228235",
            "telephone_number": "912-704-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 AQUINNAH DR",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313228235",
            "telephone_number": "912-704-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYCARE HOME SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-704-4848",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "025-R-1319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.