NPIMap

Organization Active NPI

St.Joe'S Homecare LLC

  • Home Health Aide
  • Kennesaw, GA
National Provider Identifier
1144096066
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
ST.JOE'S HOMECARE LLC
Doing business as
ST.JOE'S HOMECARE LLC
Practice address
1161 W Mill Dr NW
Kennesaw, GA 30152-5416
Phone
(404) 980-2313
NPI assigned
Dec 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Kojo Arhin, MD
Title
Director
Phone
(404) 980-2313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

1161 W Mill Dr NW
Kennesaw, GA 30152-5416

Mailing address

1161 W Mill Dr NW
Kennesaw, GA 30152-5416
Phone (404) 980-2313

Other names 1

  • ST.JOE'S HOMECARE LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stjoe'S Homecare LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1144096066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 W MILL DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301525416",
            "telephone_number": "404-980-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 W MILL DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301525416",
            "telephone_number": "404-980-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.JOE'S HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "ARHIN",
        "authorized_official_first_name": "KOJO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-980-2313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST.JOE'S HOMECARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.