Sharon Richards
Individual provider Active NPI Home Health Agency · Monroe, GA
NPI 1063923936 · NPPES record last updated Oct 19, 2017
Key facts
- NPI
- 1063923936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 147-R-1050 (GA)
- Practice address
- 667 Michael Cir
Monroe, GA 30655-8470 - Phone
- (678) 887-7413
- Fax
- (770) 267-9838
- NPI assigned
- Oct 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147-R-1050 | GA | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 24 Hour Professionals, Inc | Home Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 147-R-1050 | GA | Yes |
Addresses
Primary practice location
667 Michael Cir
Monroe, GA 30655-8470
Mailing address
667 Michael Cir
Monroe, GA 30655-8470
Phone (678) 887-7413
NPI Registry JSON
{
"created_epoch": "1508371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508371200000",
"number": "1063923936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "667 MICHAEL CIR",
"city": "MONROE",
"state": "GA",
"postal_code": "306558470",
"telephone_number": "678-887-7413",
"fax_number": "770-267-9838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "667 MICHAEL CIR",
"city": "MONROE",
"state": "GA",
"postal_code": "306558470",
"telephone_number": "678-887-7413",
"fax_number": "770-267-9838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "SHARON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-19",
"last_updated": "2017-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": "147-R-1050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.