Preferential Homecare Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PREFERENTIAL HOMECARE AGENCY

Practice address

6759 Blantyre Blvd
Stone Mountain, GA 30087-5479

Phone

(404) 200-8653

NPI assigned

Jun 26, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Lumsi Helgah Samje, DBA

Title

Administrator

Phone

(404) 200-8653

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1043055668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6759 BLANTYRE BLVD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300875479",
            "telephone_number": "404-200-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6759 BLANTYRE BLVD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300875479",
            "telephone_number": "404-200-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERENTIAL HOMECARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "SAMJE",
        "authorized_official_first_name": "LUMSI",
        "authorized_official_middle_name": "HELGAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-200-8653",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• In Home Supportive Care Agency in Georgia

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