Active NPI
Vauleet'S Personal Care Home, LLC
- Home Health Agency
- Decatur, GA
National Provider Identifier
1073958252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 060-R-1165
- Legal business name
- VAULEET'S PERSONAL CARE HOME, LLC
- Practice address
- 2811 Blue Grass LN
Decatur, GA 30034-3310 - Phone
- (770) 865-1509
- NPI assigned
- May 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kay Leitch, LPN
- Title
- Owner/Ceo
- Phone
- (770) 865-1509
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 060-R-1165 | GA | Primary |
Addresses
Primary practice location
2811 Blue Grass LN
Decatur, GA 30034-3310
Mailing address
2811 Blue Grass LN
Decatur, GA 30034-3310
Other names 1
- Vauleet's Home Care Agency
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367366400000",
"number": "1073958252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 BLUE GRASS LN",
"city": "DECATUR",
"state": "GA",
"postal_code": "300343310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 BLUE GRASS LN",
"city": "DECATUR",
"state": "GA",
"postal_code": "300343310",
"telephone_number": "770-865-1509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VAULEET'S PERSONAL CARE HOME, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-01",
"last_updated": "2013-05-01",
"status": "A",
"authorized_official_last_name": "LEITCH",
"authorized_official_first_name": "KAY",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "770-865-1509",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": "060-R-1165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vauleet's Home Care Agency",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.