Active NPI
Jordan'S Crossing Home Healthcare, LLC
- Home Health Registered Nurse
- Atlanta, GA
National Provider Identifier
1053805663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN130943
- Legal business name
- JORDAN'S CROSSING HOME HEALTHCARE, LLC
- Practice address
- 3379 Peachtree Rd NE Ste 555
Atlanta, GA 30326-1418 - Phone
- (404) 479-0619
- Fax
- (404) 720-6726
- NPI assigned
- Jun 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sabrina Mechele Lee, RN
- Title
- Director of Nursing/Administrator
- Phone
- (404) 988-0265
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN130943 | GA | Primary |
Addresses
Primary practice location
3379 Peachtree Rd NE Ste 555
Atlanta, GA 30326-1418
Mailing address
173 Jans MDWS
Stockbridge, GA 30281-5855
Phone (404) 479-0619
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529280000000",
"number": "1053805663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 JANS MDWS",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815855",
"telephone_number": "404-479-0619",
"fax_number": "404-720-6726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3379 PEACHTREE RD NE STE 555",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303261418",
"telephone_number": "404-479-0619",
"fax_number": "404-720-6726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JORDAN'S CROSSING HOME HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-18",
"last_updated": "2018-06-18",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "SABRINA",
"authorized_official_middle_name": "MECHELE",
"authorized_official_title_or_position": "DIRECTOR OF NURSING/ADMINISTRATOR",
"authorized_official_telephone_number": "404-988-0265",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": "GA",
"license": "RN130943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.