Active NPI
Samirat Ama Rasmussen
- Home Health Certified Respiratory Therapist
- Roswell, GA
National Provider Identifier
1083244073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Certified Respiratory Therapist
- License
- PHCP010547
- Practice address
- 9730 Hillside Dr
Roswell, GA 30076-2827 - Phone
- (404) 996-9466
- Fax
- (678) 404-7624
- NPI assigned
- Jan 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Certified Respiratory Therapist | 2278H0200X | PHCP010547 | GA | Primary |
Addresses
Primary practice location
9730 Hillside Dr
Roswell, GA 30076-2827
Mailing address
9730 Hillside Dr
Roswell, GA 30076-2827
Phone (404) 996-9466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHCP010547 | Medicaid | GA |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://rasmussenhomecare.com/ | Other | |
| CONNECT URL | https://rasmussenhomecare.com/ | Other | |
| Other URL | www.rasmussenhomecare.com | Health Information Exchange (HIE) | |
| CONNECT URL | https://rasmussenhomecare.com/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHCP010547 | GA | MD | Home Health Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rasmussen Home Care LLC | Single Specialty | Current | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579392000000",
"number": "1083244073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9730 HILLSIDE DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300762827",
"telephone_number": "404-996-9466",
"fax_number": "678-404-7624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9730 HILLSIDE DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300762827",
"telephone_number": "404-996-9466",
"fax_number": "678-404-7624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASMUSSEN",
"first_name": "SAMIRAT",
"middle_name": "AMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-19",
"last_updated": "2020-01-19",
"certification_date": "2020-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "2278H0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Respiratory Therapist, Certified, Home Health",
"state": "GA",
"license": "PHCP010547",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHCP010547",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://rasmussenhomecare.com/",
"affiliation": "N",
"endpointDescription": "Website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Address",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9730 Hillside Dr",
"city": "Roswell",
"state": "GA",
"country_code": "US",
"postal_code": "300762827",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://rasmussenhomecare.com/",
"affiliation": "N",
"endpointDescription": "Website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Address",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9730 Hillside Dr",
"city": "Roswell",
"state": "GA",
"country_code": "US",
"postal_code": "300762827",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.rasmussenhomecare.com",
"affiliation": "N",
"endpointDescription": "web",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "9730 Hillside Dr",
"city": "Roswell",
"state": "GA",
"country_code": "US",
"postal_code": "300762827",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://rasmussenhomecare.com/",
"affiliation": "N",
"endpointDescription": "Website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Address",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9730 Hillside Dr",
"city": "Roswell",
"state": "GA",
"country_code": "US",
"postal_code": "300762827",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.