Active NPI
Homebound Health and Wellness, LLC
- Family Nurse Practitioner
- Stockbridge, GA
National Provider Identifier
1144813411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- HOMEBOUND HEALTH AND WELLNESS, LLC
- Practice address
- 950 Eagles Landing Pkwy Ste 681
Stockbridge, GA 30281-7343 - Phone
- (678) 516-4022
- NPI assigned
- Feb 17, 2021
- 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
- Janise Roebuck, FNP-C
- Title
- Family Nurse Practitioner
- Phone
- (678) 516-4022
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
950 Eagles Landing Pkwy Ste 681
Stockbridge, GA 30281-7343
Mailing address
950 Eagles Landing Pkwy
PO Box 681
Stockbridge, GA 30281-0681
Phone (678) 516-4022
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636329600000",
"number": "1144813411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 EAGLES LANDING PKWY",
"address_2": "PO BOX 681",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302810681",
"telephone_number": "678-516-4022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 EAGLES LANDING PKWY STE 681",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302817343",
"telephone_number": "678-516-4022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMEBOUND HEALTH AND WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-17",
"last_updated": "2021-11-08",
"certification_date": "2021-10-20",
"status": "A",
"authorized_official_last_name": "ROEBUCK",
"authorized_official_first_name": "JANISE",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "678-516-4022",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.