Organization Active NPI

Canopy Homecare, LLC

  • In Home Supportive Care Agency
  • Marietta, GA
National Provider Identifier
1174058010
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CANOPY HOMECARE, LLC
Practice address
2453 Powder Springs Rd SW
Suite 225
Marietta, GA 30064-4570
Phone
(770) 438-0033
NPI assigned
Apr 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Dennis Stamey-Lucas
Title
Ceo
Phone
(770) 438-0033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2453 Powder Springs Rd SW
Suite 225
Marietta, GA 30064-4570

Mailing address

2453 Powder Springs Rd SW
Suite 225
Marietta, GA 30064-4570
Phone (770) 438-0033

Other names 1

  • BWell Senior Care Doing business as

National Provider Directory

National Provider Directory

Locations

2453 Powder Springs Rd SW
Ste 225
Marietta, GA 30064
Phone (770) 438-0033

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1174058010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2453 POWDER SPRINGS RD SW",
            "address_2": "SUITE 225",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644570",
            "telephone_number": "770-438-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2453 POWDER SPRINGS RD SW",
            "address_2": "SUITE 225",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644570",
            "telephone_number": "770-438-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANOPY HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "STAMEY-LUCAS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-438-0033"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BWell Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 28, 2017; 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.