S & S Private Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

AB15-000411 Issued in GA

Legal business name

S & S PRIVATE HOME CARE, LLC

Practice address

1208 Whispering Pines Rd
Albany, GA 31707-3552

Phone

(229) 573-7477

Fax

(229) 329-4474

NPI assigned

Jan 22, 2013

Organization subpart

No

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

Authorized official

Name

Shakita Randle-Lewis

Title

Administator

Phone

(229) 573-7477

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shakita Randle

  • Home Health Agency
  • Albany, GA
  • NPI 1942748405
  NPD

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1073851333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 WHISPERING PINES RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073552",
            "telephone_number": "229-573-7477",
            "fax_number": "229-329-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 WHISPERING PINES RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073552",
            "telephone_number": "229-573-7477",
            "fax_number": "229-329-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & S PRIVATE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "RANDLE-LEWIS",
        "authorized_official_first_name": "SHAKITA",
        "authorized_official_title_or_position": "ADMINISTATOR",
        "authorized_official_telephone_number": "229-573-7477"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "AB13-000011",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "AB15-000411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles D Ruis, MD
• Larry Richard Rummel Sr., RPH
• Stephen Mitchell Russ, M.D.
• Elexus L Russell
• RX Consultants Inc
• Saegcyhealthcare
• Henry Archer Sakow, MD
• Allison Salter, CCC-SLP
• Sam'S Club Optical
• Samaritan Clinic, Incorporated

• Home Health Agency in Albany, GA
• Providers in Albany, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.