NPIMap

Organization Active NPI

Ellsworth Healthcare Staffing LLC

  • In Home Supportive Care Agency
  • Decatur, GA
National Provider Identifier
1093292021
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
044-R-1972 Issued in GA
Legal business name
ELLSWORTH HEALTHCARE STAFFING LLC
Practice address
160 Clairemont Ave Ste 200
Decatur, GA 30030-2546
Phone
(404) 806-8164
Fax
(404) 369-0404
NPI assigned
Jul 23, 2018
Last updated
Jul 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Authorized official

Name
Terri Lawson-Adams
Title
Ceo/Director
Phone
(404) 806-8164

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 044-R-1972 GA
In Home Supportive Care Agency 253Z00000X 044-R-1972 GA Primary

Addresses

Primary practice location

160 Clairemont Ave Ste 200
Decatur, GA 30030-2546

Mailing address

160 Clairemont Ave Ste 200
Decatur, GA 30030-2546
Phone (404) 806-8164

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1093292021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CLAIREMONT AVE STE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302546",
            "telephone_number": "404-806-8164",
            "fax_number": "404-369-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CLAIREMONT AVE STE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302546",
            "telephone_number": "404-806-8164",
            "fax_number": "404-369-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLSWORTH HEALTHCARE STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "LAWSON-ADAMS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "404-806-8164"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "044-R-1972",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "044-R-1972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.