Mellish Health Care Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MELLISH HEALTH CARE AGENCY, INC.

Practice address

2033 Locksley Ter
Lithonia, GA 30058-6513

Phone

(770) 484-1161

NPI assigned

Nov 9, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Terry Vickers

Title

Owner

Phone

(404) 451-8021

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1226188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226188800000",
    "number": "1073767760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 LOCKSLEY TER",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300586513",
            "telephone_number": "770-484-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 LOCKSLEY TER",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300586513",
            "telephone_number": "770-484-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELLISH HEALTH CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-09",
        "last_updated": "2008-11-09",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-451-8021",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Lithonia, GA
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• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2008; 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.