Organization Active NPI

Burgess Elite Care LLC

  • Home Health Agency
  • Conyers, GA
National Provider Identifier
1134920713
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BURGESS ELITE CARE LLC
Practice address
2375 Wall St SE Ste 240
Conyers, GA 30013-2296
Phone
(770) 679-1121
Fax
(470) 200-0676
NPI assigned
Mar 20, 2025
Last updated
Sep 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Stinesha Ferguson
Title
Owner
Phone
(404) 274-3851

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

2375 Wall St SE Ste 240
Conyers, GA 30013-2296

Mailing address

2375 Wall St SE Ste 240
Conyers, GA 30013-2296
Phone (770) 679-1121

National Provider Directory

National Provider Directory

Locations

2375 Wall St SE
Ste 240
Conyers, GA 30013
Phone (470) 829-6301

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1134920713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 WALL ST SE STE 240",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132296",
            "telephone_number": "770-679-1121",
            "fax_number": "470-200-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 WALL ST SE STE 240",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132296",
            "telephone_number": "770-679-1121",
            "fax_number": "470-200-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURGESS ELITE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "STINESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-274-3851"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; 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.