North Ga Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

067R0723 Issued in GA

Legal business name

NORTH GA HOME CARE

Practice address

2078 Teron Trce
Suite 250
Dacula, GA 30019-1604

Phone

(770) 783-2323

Fax

(770) 872-0913

NPI assigned

Jan 24, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Julius Bagley

Title

President

Phone

(404) 374-3999

Specialties & licenses 2

Addresses

Other names 1

• Synergy Home Care of North Georgia Doing business as

Tax ID family

North Ga Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• North Georgia Home Care, Inc.

  • In Home Supportive Care Agency
  • Buford, GA
  • NPI 1891142469
  NPD tax ID

Locations

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1134467103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2078 TERON TRCE",
            "address_2": "SUITE 250",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191604",
            "telephone_number": "770-783-2323",
            "fax_number": "770-872-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2078 TERON TRCE",
            "address_2": "SUITE 250",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191604",
            "telephone_number": "770-783-2323",
            "fax_number": "770-872-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GA HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-374-3999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "067R0723",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "008R0722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Home Care of North Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Newsome Jr.
• Kathy Kim Nguyen, OD
• Nicely Health Services LLC
• Rachel Elizabeth Nisbet, M.D.
• North Atlanta Podiatry GRP,PC
• North Georgia Infusion and Medical Solutions
• North Georgia Nutrition and Wellness LLC
• North Gwinnett Primary Care
• Northeast Georgia Dental Professionals, LLC
• Northeast Georgia Physicians Group-Urgent Care, LLC

• In Home Supportive Care Agency in Dacula, GA
• Providers in Dacula, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.