Certified Home Care of Georgia LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CERTIFIED HOME CARE OF GEORGIA LLC

Practice address

382 Harbins Rd
Dacula, GA 30019-2300

Phone

(770) 635-8042

Fax

(877) 366-0737

NPI assigned

Apr 6, 2015

Organization subpart

No

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

Authorized official

Name

Judine Lynch

Title

Owner

Phone

(770) 635-8042

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1083009054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 PHARR AVE",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194707",
            "telephone_number": "770-635-8042",
            "fax_number": "888-599-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 HARBINS RD",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192300",
            "telephone_number": "770-635-8042",
            "fax_number": "877-366-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED HOME CARE OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "JUDINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-635-8042"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Dacula, GA
• Providers in Dacula, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.