Organization Active NPI

Amber Glow Home Care LLC

  • Home Health Agency
  • Decatur, GA
National Provider Identifier
1114812419
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMBER GLOW HOME CARE LLC
Practice address
3650 River Edge CT
Decatur, GA 30034-5061
Phone
(404) 394-4356
NPI assigned
Jun 9, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Sylvester Smith III
Title
Manager
Phone
(404) 394-4356

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

3650 River Edge CT
Decatur, GA 30034-5061

Mailing address

3650 River Edge CT
Decatur, GA 30034-5061
Phone (404) 394-4356

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 9, 2025.

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1114812419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 RIVER EDGE CT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300345061",
            "telephone_number": "404-394-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 RIVER EDGE CT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300345061",
            "telephone_number": "404-394-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBER GLOW HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SYLVESTER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-394-4356",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "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 Jun 9, 2025; 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.