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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
147-R-1050GAMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
24 Hour Professionals, Inc Home Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 19, 2017.

{
    "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

All providers in Monroe, GA · Home Health Agency in Georgia

Sources for this page

Verify at the official NPI Registry.