Organization Active NPI

Top of the Line Healthcare

  • In Home Supportive Care Agency
  • Ellenwood, GA
National Provider Identifier
1083840805
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
044-R-0513 Issued in GA
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

Updated by the provider on Jun 8, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
841707583AMedicaidGA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.