Organization Active NPI

Scenic Route Enterprises Inc

  • In Home Supportive Care Agency
  • Snellville, GA
National Provider Identifier
1043681521
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
067-R-0375 Issued in GA
Legal business name
SCENIC ROUTE ENTERPRISES INC
Practice address
2371 Henry Clower Blvd Ste C
Snellville, GA 30078-7423
Phone
(770) 982-6628
Fax
(770) 736-1065
NPI assigned
Oct 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Authorized official

Name
David Stewart
Title
President/Owner
Phone
(770) 982-6628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 067-R-0375 GA Primary

Addresses

Primary practice location

2371 Henry Clower Blvd Ste C
Snellville, GA 30078-7423

Mailing address

2371 Henry Clower Blvd Ste C
Snellville, GA 30078-7423
Phone (770) 982-6628

Other identifiers 1

IdentifierTypeStateIssuer
003158271AMedicaidGA

Other names 1

  • Senior Helpers Doing business as

National Provider Directory

National Provider Directory

Locations

2371 Henry Clower Blvd
Ste C
Snellville, GA 30078
Phone (770) 982-6628

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1043681521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2371 HENRY CLOWER BLVD STE C",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787423",
            "telephone_number": "770-982-6628",
            "fax_number": "770-736-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2371 HENRY CLOWER BLVD STE C",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787423",
            "telephone_number": "770-982-6628",
            "fax_number": "770-736-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCENIC ROUTE ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "770-982-6628"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "067-R-0375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003158271A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Helpers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.