Active NPI
Untapped Potential
- Home Health Agency
- Chickamauga, GA
National Provider Identifier
1134723158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2020
- 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
- Mr. Zeffon Wills
- Title
- Ceo/Owner
- Phone
- (404) 781-7536
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@untappedservices.com | Direct |
National Provider Directory
National Provider DirectoryNPI 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.