Organization Active NPI

Piedmont in Homecare

  • Home Health Agency
  • Atlanta, GA
National Provider Identifier
1154905230
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PIEDMONT IN HOMECARE
Practice address
3266 Staci LN
Atlanta, GA 30344-6403
Phone
(404) 645-9098
NPI assigned
May 5, 2021
Last updated
May 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Deondray Lance
Title
Owner
Phone
(404) 645-9098

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Community Health Clinic/Center 261QC1500X
Physical Therapy Clinic/Center 261QP2000X
Non-emergency Medical Transport (VAN) 343900000X
Respite Care 385H00000X
Child Mental Illness Respite Care 385HR2055X
Child Physical Disabilities Respite Care 385HR2065X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

3266 Staci LN
Atlanta, GA 30344-6403

Mailing address

3266 Staci LN
Atlanta, GA 30344-6403
Phone (404) 645-9098

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1154905230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3266 STACI LN",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303446403",
            "telephone_number": "404-645-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3266 STACI LN",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303446403",
            "telephone_number": "404-645-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT IN HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "LANCE",
        "authorized_official_first_name": "DEONDRAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-645-9098"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.