Heirloom Private Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEIRLOOM PRIVATE HOME CARE LLC

Practice address

6430 Tahoe Dr
College Park, GA 30349-4055

Phone

(814) 499-4649

NPI assigned

Sep 13, 2023

Organization subpart

No

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

Authorized official

Name

Amirah Heath

Title

Administrator

Phone

(814) 499-4649

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1043097082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 TAHOE DR",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303494055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 TAHOE DR",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303494055",
            "telephone_number": "814-499-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIRLOOM PRIVATE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "AMIRAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "814-499-4649"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in College Park, GA
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• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.