NPIMap

Organization Active NPI

Caremed Private Homecare Solution, LLC

  • Home Health Agency
  • Suwanee, GA
National Provider Identifier
1063068633
Registry record updated Dec 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CAREMED PRIVATE HOMECARE SOLUTION, LLC
Practice address
4469 Silver Peak Pkwy
Suwanee, GA 30024-4019
Phone
(404) 590-4774
NPI assigned
Aug 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2020

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

Authorized official

Name
Mrs. Elizabeth Henry
Title
Owner
Phone
(404) 435-3656

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

4469 Silver Peak Pkwy
Suwanee, GA 30024-4019

Mailing address

PO Box 3744
Suwanee, GA 30024-0087
Phone (404) 369-3283

Other identifiers 1

IdentifierTypeStateIssuer
712538MedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL elizabethh.caremed@gmail.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607126400000",
    "number": "1063068633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3744",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300240087",
            "telephone_number": "404-369-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4469 SILVER PEAK PKWY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244019",
            "telephone_number": "404-590-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMED PRIVATE HOMECARE SOLUTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-435-3656",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "712538",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elizabethh.caremed@gmail.com",
            "affiliation": "N",
            "endpointDescription": "home health care agency",
            "address_1": "4469 Silver Peak Pkwy",
            "city": "Suwanee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300244019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.