Palmgroove Enterprises LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

PALMGROOVE ENTERPRISES LLC

Practice address

4174 Fortune PT
College Park, GA 30349-1387

Phone

(404) 409-8365

NPI assigned

Aug 1, 2014

Organization subpart

No

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

Authorized official

Name

Kikelomo LabiranNPI 1073218871

Title

Owner

Phone

(404) 409-8365

Specialties & licenses 1

Addresses

Other names 1

• Palmgroove Home Care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kikelomo M Labiran

  • Nurse Practitioner
  • Atlanta, GA
  • NPI 1073218871
  NPD (past) Authorized official

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1174931299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4174 FORTUNE PT",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303491387",
            "telephone_number": "404-409-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4174 FORTUNE PT",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303491387",
            "telephone_number": "404-409-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMGROOVE ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "LABIRAN",
        "authorized_official_first_name": "KIKELOMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-409-8365"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmgroove Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Respite Care in College Park, GA
• Providers in College Park, GA by specialty
• Respite Care in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.