Active NPI
A L Gordon Care Group LLC
- In Home Supportive Care Agency
- Roswell, GA
National Provider Identifier
1144097379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2023
- 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
- Myckelle Williams
- Title
- Owner
- Phone
- (678) 730-0750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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": []
}
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- A One Home Care, Inc.
- A Step Ahead Physical Therapy, LLC
- A-Z Therapy Inc.
- A1 Active Care
- Aajo Healthcare
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.