Bama Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BAMA HOME CARE LLC

Practice address

2416 Creole Creek Cir
Stone Mountain, GA 30087-3758

Phone

(770) 255-9966

NPI assigned

Jan 5, 2021

Last updated

Jan 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bal Allay

Title

Owner

Phone

(678) 791-9338

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1144818279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 CREOLE CREEK CIR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873758",
            "telephone_number": "770-255-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 CREOLE CREEK CIR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873758",
            "telephone_number": "770-255-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "ALLAY",
        "authorized_official_first_name": "BAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-791-9338"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.