Active NPI
Synergy Homecare of NW Atlanta
- In Home Supportive Care Agency
- Hiram, GA
National Provider Identifier
1164878302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 110R1136
- Legal business name
- SYNERGY HOMECARE OF NW ATLANTA
- Practice address
- 5604 Wendy Bagwell Pkwy
Suite 321
Hiram, GA 30141-7813 - Phone
- (678) 909-3043
- Fax
- (678) 426-6060
- NPI assigned
- May 6, 2016
- 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
- Doris Combs-Marshall
- Title
- Owner
- Phone
- (678) 909-3043
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 110R1136 | GA | Primary |
Addresses
Primary practice location
5604 Wendy Bagwell Pkwy
Suite 321
Hiram, GA 30141-7813
Mailing address
5604 Wendy Bagwell Pkwy
Suite 321
Hiram, GA 30141-7813
Phone (678) 909-3043
Other names 1
- A Place of Grace & Mercy, Inc. DBA Synergy Homecare of NW Atlanta
National Provider Directory
National Provider DirectoryLocations
5604 Wendy Bagwell Pkwy
Ste 321
Hiram, GA 30141
Phone (678) 909-3043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462492800000",
"number": "1164878302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5604 WENDY BAGWELL PKWY",
"address_2": "SUITE 321",
"city": "HIRAM",
"state": "GA",
"postal_code": "301417813",
"telephone_number": "678-909-3043",
"fax_number": "678-426-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5604 WENDY BAGWELL PKWY",
"address_2": "SUITE 321",
"city": "HIRAM",
"state": "GA",
"postal_code": "301417813",
"telephone_number": "678-909-3043",
"fax_number": "678-426-6060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY HOMECARE OF NW ATLANTA",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-06",
"last_updated": "2016-05-06",
"status": "A",
"authorized_official_last_name": "COMBS-MARSHALL",
"authorized_official_first_name": "DORIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-909-3043"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "GA",
"license": "110R1136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "A Place of Grace & Mercy, Inc. DBA Synergy Homecare of NW Atlanta",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hiram, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.