Organization Active NPI

Untapped Potential

  • Home Health Agency
  • Chickamauga, GA
National Provider Identifier
1134723158
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
UNTAPPED POTENTIAL
Practice address
8159 W Highway 136
Chickamauga, GA 30707-4069
Phone
(404) 781-7536
NPI assigned
Nov 30, 2020
Last updated
Nov 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Mr. Zeffon Wills
Title
Ceo/Owner
Phone
(404) 781-7536

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X NU
Developmentally Disabled Services Day Training Agency 251C00000X NU
Home Health Agency 251E00000X NU Primary
Adult Day Care Clinic/Center 261QA0600X NU
Adult Care Home Facility 311ZA0620X NU
Home Delivered Meals 332U00000X NU
Private Vehicle 347C00000X NU
In Home Supportive Care Agency 253Z00000X NU
Meals Provider 174200000X NU

Addresses

Primary practice location

8159 W Highway 136
Chickamauga, GA 30707-4069

Mailing address

8159 W Highway 136
Chickamauga, GA 30707-4069
Phone (404) 781-7536

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@untappedservices.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1134723158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8159 W HIGHWAY 136",
            "city": "CHICKAMAUGA",
            "state": "GA",
            "postal_code": "307074069",
            "telephone_number": "404-781-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8159 W HIGHWAY 136",
            "city": "CHICKAMAUGA",
            "state": "GA",
            "postal_code": "307074069",
            "telephone_number": "404-781-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNTAPPED POTENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "ZEFFON",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "404-781-7536",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@untappedservices.com",
            "affiliation": "N",
            "endpointDescription": "admin email for company",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "admin email for company",
            "address_1": "8159 W Highway 136",
            "city": "Chickamauga",
            "state": "GA",
            "country_code": "US",
            "postal_code": "307074069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chickamauga, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.