Active NPI
Krissy Krstine LLC.
- In Home Supportive Care Agency
- McDonough, GA
National Provider Identifier
1124930474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.