Organization Active NPI

Belle Ame PCS, LLC

  • In Home Supportive Care Agency
  • Ellenwood, GA
National Provider Identifier
1083362925
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BELLE AME PCS, LLC
Practice address
3644 Talonega TRL
Ellenwood, GA 30294-1158
Phone
(404) 308-3176
NPI assigned
Mar 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

Name
Rodney Evans
Title
Administrator
Phone
(404) 308-3176

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3644 Talonega TRL
Ellenwood, GA 30294-1158

Mailing address

3644 Talonega TRL
Ellenwood, GA 30294-1158
Phone (404) 308-3176

Other identifiers 1

IdentifierTypeStateIssuer
PHCP011141OtherGASTATE OF GEORGIA

National Provider Directory

National Provider Directory
Tax ID family
Belle Ame PCS LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1083362925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3644 TALONEGA TRL",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302941158",
            "telephone_number": "404-308-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3644 TALONEGA TRL",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302941158",
            "telephone_number": "404-308-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLE AME PCS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-308-3176"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF GEORGIA",
            "identifier": "PHCP011141",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenwood, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.