Organization Active NPI

Unfolding Evolution Healthcare

  • In Home Supportive Care Agency
  • Marietta, GA
National Provider Identifier
1104674159
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
UNFOLDING EVOLUTION HEALTHCARE
Practice address
45 South Ave SE Ste 8
Marietta, GA 30060-2538
Phone
(404) 838-9088
NPI assigned
May 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Malaysia CottonNPI 1285313536
Title
Admin
Phone
(404) 838-9088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

45 South Ave SE Ste 8
Marietta, GA 30060-2538

Mailing address

1615 Cobb Pkwy N Apt 5008
Marietta, GA 30062-2496
Phone (404) 838-9088

National Provider Directory

National Provider Directory

Locations

45 South Ave SE
Ste 8
Marietta, GA 30060
Phone (404) 838-9088

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1104674159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 COBB PKWY N APT 5008",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622496",
            "telephone_number": "404-838-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SOUTH AVE SE STE 8",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602538",
            "telephone_number": "404-838-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNFOLDING EVOLUTION HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "MALAYSIA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "404-838-9088"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.