Organization Active NPI

Homebound Health and Wellness, LLC

  • Family Nurse Practitioner
  • Stockbridge, GA
National Provider Identifier
1144813411
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Nov 8, 2021

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.