NPIMap

Organization Active NPI

Clara's Home Healthcare Institute

Doing business as Clara's Healthcare

  • Nursing Care Agency
  • Rex, GA
National Provider Identifier
1104431758
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
CLARA'S HOME HEALTHCARE INSTITUTE
Doing business as
Clara's Healthcare
Clara's Home Healthcare Institute dba Clara's Healthcare
Practice address
3469 Henley St
Rex, GA 30273-1758
Phone
(678) 783-9696
Fax
(404) 390-1242
NPI assigned
Sep 10, 2020
Last updated
Sep 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Ms. Naneka S Kennon Pam, RN
Title
Owner
Phone
(678) 783-9696

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

3469 Henley St
Rex, GA 30273-1758

Mailing address

3469 Henley St
Rex, GA 30273-1758
Phone (678) 783-9696

Other names 2

  • Clara's Healthcare Doing business as
  • Clara's Home Healthcare Institute dba Clara's Healthcare Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1104431758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3469 HENLEY ST",
            "city": "REX",
            "state": "GA",
            "postal_code": "302731758",
            "telephone_number": "678-783-9696",
            "fax_number": "404-390-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3469 HENLEY ST",
            "city": "REX",
            "state": "GA",
            "postal_code": "302731758",
            "telephone_number": "678-783-9696",
            "fax_number": "404-390-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARA'S HOME HEALTHCARE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "PAM",
        "authorized_official_first_name": "NANEKA S",
        "authorized_official_middle_name": "KENNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-783-9696",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clara's Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clara's Home Healthcare Institute dba Clara's Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rex, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.