Organization Active NPI

Lynnica Healthcare Staffing, LLC

  • In Home Supportive Care Agency
  • Mableton, GA
National Provider Identifier
1043960644
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LYNNICA HEALTHCARE STAFFING, LLC
Practice address
1025 Veterans Memorial Hwy SE
Mableton, GA 30126-7707
Phone
(617) 271-8374
NPI assigned
Mar 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Yeatie CollierNPI 1063369155
Title
Ceo
Phone
(617) 271-8374

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1025 Veterans Memorial Hwy SE
Mableton, GA 30126-7707

Mailing address

1030 Franklin CT
Austell, GA 30106-3859

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1043960644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 FRANKLIN CT",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301063859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 VETERANS MEMORIAL HWY SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301267707",
            "telephone_number": "617-271-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNICA HEALTHCARE STAFFING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "YEATIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-271-8374"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.