Active NPI
Amber Glow Home Care LLC
- Home Health Agency
- Decatur, GA
National Provider Identifier
1114812419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.