NPIMap

Organization Active NPI

Experience Care NJ Inc

Doing business as Care With Experience LLLP

  • In Home Supportive Care Agency
  • Stone Mountain, GA
National Provider Identifier
1083297162
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EXPERIENCE CARE NJ INC
Doing business as
Care With Experience LLLP
Practice address
1260 Old Countryside Cir
Stone Mountain, GA 30083-5828
Phone
(667) 500-4579
NPI assigned
May 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Lizatte MartinNPI 1841752490
Title
Owner
Phone
(667) 500-4579

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1260 Old Countryside Cir
Stone Mountain, GA 30083-5828

Mailing address

1260 Old Countryside Cir
Stone Mountain, GA 30083-5828
Phone (667) 500-4579

Other names 1

  • Care With Experience LLLP Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1083297162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 OLD COUNTRYSIDE CIR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300835828",
            "telephone_number": "667-500-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 OLD COUNTRYSIDE CIR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300835828",
            "telephone_number": "667-500-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCE CARE NJ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LIZATTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "667-500-4579"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care With Experience LLLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.