Organization Active NPI

Nightingales Medical Agency

  • In Home Supportive Care Agency
  • Lawrenceville, GA
National Provider Identifier
1174916027
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NIGHTINGALES MEDICAL AGENCY
Practice address
889 Short St
Lawrenceville, GA 30046-6155
Phone
(877) 839-3993
Fax
(877) 839-3993
NPI assigned
Mar 16, 2015
Last updated
Mar 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Authorized official

Name
Gerrard Brown
Title
Owner
Phone
(877) 839-3993

Specialties & licenses 1

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

Addresses

Primary practice location

889 Short St
Lawrenceville, GA 30046-6155

Mailing address

PO Box 773
Lawrenceville, GA 30046-0773
Phone (877) 839-3993

Other names 1

  • Nightingales Home Care Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1174916027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 773",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300460773",
            "telephone_number": "877-839-3993",
            "fax_number": "877-839-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 SHORT ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466155",
            "telephone_number": "877-839-3993",
            "fax_number": "877-839-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHTINGALES MEDICAL AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GERRARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-839-3993"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nightingales Home Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.