Organization Active NPI

Krissy Krstine LLC.

  • In Home Supportive Care Agency
  • McDonough, GA
National Provider Identifier
1124930474
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KRISSY KRSTINE LLC.
Practice address
1033B Highway 155 N
McDonough, GA 30252-5543
Phone
(770) 270-3880
NPI assigned
Sep 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Sharron Brown-Walker
Title
Administrator
Phone
(718) 598-5967

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
In Home Supportive Care Agency 253Z00000X Primary
Assisted Living Facility 310400000X
Custodial Care Facility 311Z00000X
Adult Care Home Facility 311ZA0620X

Addresses

Primary practice location

1033B Highway 155 N
McDonough, GA 30252-5543

Mailing address

1033B Highway 155 N
McDonough, GA 30252-5543
Phone (770) 270-3880

NPI Registry JSON

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1124930474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033B HIGHWAY 155 N",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302525543",
            "telephone_number": "770-270-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033B HIGHWAY 155 N",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302525543",
            "telephone_number": "770-270-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISSY KRSTINE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "BROWN-WALKER",
        "authorized_official_first_name": "SHARRON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-598-5967"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.