Organization Active NPI

Candid Amour Homehealth Agency LLC

  • In Home Supportive Care Agency
  • Forest Park, GA
National Provider Identifier
1114693405
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CANDID AMOUR HOMEHEALTH AGENCY LLC
Practice address
528 Forest Pkwy
Forest Park, GA 30297-6109
Phone
(954) 381-6291
NPI assigned
Aug 18, 2021
Last updated
Aug 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Margalie Eugene
Title
Owner/Administrator
Phone
(954) 381-6291

Specialties & licenses 1

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

Addresses

Primary practice location

528 Forest Pkwy
Forest Park, GA 30297-6109

Mailing address

664 McKenzie Cir
Stockbridge, GA 30281-2896
Phone (954) 381-6291

National Provider Directory

National Provider Directory

Locations

528 Forest Pkwy
Forest Park, GA 30297
Phone (954) 381-6291

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1114693405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 MCKENZIE CIR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302812896",
            "telephone_number": "954-381-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 FOREST PKWY",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302976109",
            "telephone_number": "954-381-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDID AMOUR HOMEHEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "EUGENE",
        "authorized_official_first_name": "MARGALIE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "954-381-6291"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.