Organization Active NPI

Double Heart Personal Care Service LLC

  • Home Health Aide
  • Marietta, GA
National Provider Identifier
1164920534
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
0028839152 Issued in GA
Legal business name
DOUBLE HEART PERSONAL CARE SERVICE LLC
Practice address
1295 Franklin Dr SE
Marietta, GA 30067-8788
Phone
(470) 255-7528
NPI assigned
Jan 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Authorized official

Name
Lakeisha Barnes
Title
Ceo
Phone
(470) 255-7528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X 0028839152 GA Primary

Addresses

Primary practice location

1295 Franklin Dr SE
Marietta, GA 30067-8788

Mailing address

1295 Franklin Dr SE
Marietta, GA 30067-8788
Phone (470) 255-7528

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1164920534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 FRANKLIN DR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678788",
            "telephone_number": "470-255-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 FRANKLIN DR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678788",
            "telephone_number": "470-255-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE HEART PERSONAL CARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "LAKEISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-255-7528"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "0028839152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.