Active NPI
Top of the Line Healthcare
- In Home Supportive Care Agency
- Ellenwood, GA
National Provider Identifier
1083840805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 044-R-0513
- Legal business name
- TOP OF THE LINE HEALTHCARE
- Practice address
- 4818 Mitchells Ridge Dr
Ellenwood, GA 30294-6631 - Phone
- (678) 289-2487
- Fax
- (678) 289-2487
- NPI assigned
- Jun 8, 2009
- 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
- Ms. Maureen Scott Richardson, REGISTERED NURSE
- Title
- Administrator
- Phone
- (678) 896-7486
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 044-R-0513 | GA | Primary |
Addresses
Primary practice location
4818 Mitchells Ridge Dr
Ellenwood, GA 30294-6631
Mailing address
4818 Mitchells Ridge Dr
Ellenwood, GA 30294-6631
Phone (678) 289-2487
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 841707583A | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244419200000",
"number": "1083840805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4818 MITCHELLS RIDGE DR",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302946631",
"telephone_number": "678-289-2487",
"fax_number": "678-289-2487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4818 MITCHELLS RIDGE DR",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302946631",
"telephone_number": "678-289-2487",
"fax_number": "678-289-2487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOP OF THE LINE HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-08",
"last_updated": "2009-06-08",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "MAUREEN",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "678-896-7486",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "GA",
"license": "044-R-0513",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "841707583A",
"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 Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.