Healthcare Training Center, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HEALTHCARE TRAINING CENTER, LLC

Practice address

115 Commerce Dr Ste a
Fayetteville, GA 30214-7335

Phone

(770) 629-7353

NPI assigned

Nov 11, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Gwendolyn Crenshaw

Title

Program Manager

Phone

(678) 933-9309

Specialties & licenses 1

Addresses

Other names 1

• Healthcare Training Center , LLC and Home Care Agency Other name

Locations

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1104299239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 COMMERCE DR STE A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147335",
            "telephone_number": "770-629-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 COMMERCE DR STE A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147335",
            "telephone_number": "770-629-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE TRAINING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "CRENSHAW",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "678-933-9309",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthcare Training Center , LLC and Home Care Agency",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.