Privi Care Home Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIVI CARE HOME HEALTHCARE LLC

Doing business as

privi care home healthcare llc

Practice address

64 Corsair Cir
Port Wentworth, GA 31407-8530

Phone

(912) 777-5366

Fax

(912) 417-4882

NPI assigned

May 4, 2024

Last updated

May 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Althea Kelly

Title

Owner

Phone

(912) 777-5366

Specialties & licenses 1

Addresses

Other names 1

• privi care home healthcare llc Doing business as

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

{
    "created_epoch": "1714780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714780800000",
    "number": "1033966247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 CORSAIR CIR",
            "city": "PORT WENTWORTH",
            "state": "GA",
            "postal_code": "314078530",
            "telephone_number": "912-777-5366",
            "fax_number": "912-417-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 CORSAIR CIR",
            "city": "PORT WENTWORTH",
            "state": "GA",
            "postal_code": "314078530",
            "telephone_number": "912-777-5366",
            "fax_number": "912-417-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVI CARE HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-04",
        "last_updated": "2024-05-04",
        "certification_date": "2024-05-04",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ALTHEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-777-5366"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "privi care home healthcare llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.