Organization Active NPI

Synergy Homecare of NW Atlanta

  • In Home Supportive Care Agency
  • Hiram, GA
National Provider Identifier
1164878302
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
110R1136 Issued in GA
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

Updated by the provider on May 6, 2016

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.