NPIMap

Organization Active NPI

Home Health of Atlanta

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1184335929
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HOME HEALTH OF ATLANTA
Practice address
3640 S Fulton Ave Unit 1207
Atlanta, GA 30354-1762
Phone
(404) 617-8293
NPI assigned
Dec 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Odell Anderson Jr.NPI 1710549423
Title
Owner
Phone
(404) 617-8293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3640 S Fulton Ave Unit 1207
Atlanta, GA 30354-1762

Mailing address

6691 Church St Unit 962457
Riverdale, GA 30296-4098

National Provider Directory

National Provider Directory

Locations

6691 Church St
Unit 962457
Riverdale, GA 30296

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1184335929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6691 CHURCH ST UNIT 962457",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302964098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 S FULTON AVE UNIT 1207",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303541762",
            "telephone_number": "404-617-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH OF ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ODELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-617-8293",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.