NPIMap

Organization Active NPI

Simplicitys Personal Care Home LLC

  • Personal Care Attendant
  • Riverdale, GA
National Provider Identifier
1053934802
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
SIMPLICITYS PERSONAL CARE HOME LLC
Practice address
6741 Church St Ste 2
Riverdale, GA 30274-2249
Phone
(678) 886-7320
NPI assigned
May 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Authorized official

Name
Valerie RachelNPI 1780046268
Title
Administrator
Phone
(678) 886-7320

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
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

6741 Church St Ste 2
Riverdale, GA 30274-2249

Mailing address

PO Box 11
Atlanta, GA 30301-0011

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": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1053934802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303010011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6741 CHURCH ST STE 2",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742249",
            "telephone_number": "678-886-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLICITYS PERSONAL CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "RACHEL",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-886-7320"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.