Georgia Community Private Home Care Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

044-R-0497 Issued in GA

Legal business name

GEORGIA COMMUNITY PRIVATE HOME CARE SERVICES

Practice address

5644 Hunters Crossing CT
Lithonia, GA 30038-1529

Phone

(770) 987-7053

Fax

(770) 987-5571

NPI assigned

Jul 12, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Iyabo Olatunde Akintomide

Title

Owner

Phone

(770) 987-7053

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Georgia Home Health Care Inc Doing business as

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1093027641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5644 HUNTERS CROSSING CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300381529",
            "telephone_number": "770-987-7053",
            "fax_number": "770-987-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5644 HUNTERS CROSSING CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300381529",
            "telephone_number": "770-987-7053",
            "fax_number": "770-987-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA COMMUNITY PRIVATE HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "AKINTOMIDE",
        "authorized_official_first_name": "IYABO",
        "authorized_official_middle_name": "OLATUNDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-987-7053",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "044-R-0497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207881949A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Home Health Care Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Lithonia, GA
• Providers in Lithonia, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.