Organization Active NPI

Peach Family Homecare

  • Home Health Agency
  • Conyers, GA
National Provider Identifier
1043089154
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEACH FAMILY HOMECARE
Practice address
3325 Squire LN SE
Conyers, GA 30094-3540
Phone
(404) 295-4085
NPI assigned
Dec 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Authorized official

Name
Ashley Parks
Title
Owner
Phone
(404) 295-4085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3325 Squire LN SE
Conyers, GA 30094-3540

Mailing address

3325 Squire LN SE
Conyers, GA 30094-3540
Phone (140) 429-5408

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1043089154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 SQUIRE LN SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943540",
            "telephone_number": "140-429-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 SQUIRE LN SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943540",
            "telephone_number": "404-295-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACH FAMILY HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-295-4085"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.