Organization Active NPI

A L Gordon Care Group LLC

  • In Home Supportive Care Agency
  • Roswell, GA
National Provider Identifier
1144097379
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
A L GORDON CARE GROUP LLC
Practice address
760 Old Roswell Rd Ste 494
Roswell, GA 30076-2279
Phone
(678) 730-0750
Fax
(678) 730-0751
NPI assigned
Dec 7, 2023
Last updated
Dec 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Myckelle Williams
Title
Owner
Phone
(678) 730-0750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

760 Old Roswell Rd Ste 494
Roswell, GA 30076-2279

Mailing address

760 Old Roswell Rd Ste 494
Roswell, GA 30076-2279
Phone (678) 730-0750

National Provider Directory

National Provider Directory

Locations

760 Old Roswell Rd
Ste 494
Roswell, GA 30076
Phone (678) 730-0750

NPI Registry JSON

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1144097379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 OLD ROSWELL RD STE 494",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762279",
            "telephone_number": "678-730-0750",
            "fax_number": "678-730-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 OLD ROSWELL RD STE 494",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762279",
            "telephone_number": "678-730-0750",
            "fax_number": "678-730-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A L GORDON CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MYCKELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-730-0750"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.