Latoshia Zellner

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

PHCP013303 Issued in GA

Practice address

1953 Old Atlanta Rd
Griffin, GA 30223-1180

Phone

(404) 955-9108

Fax

(770) 914-1690

NPI assigned

Nov 14, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Champion Healthcare Solutions, LLC

  • Home Health Agency
  • Griffin, GA
  • NPI 1780417360
  NPD Authorized official
• SBZ Services Unlimited, Inc

  • Community/Behavioral Health Agency
  • McDonough, GA
  • NPI 1902265333
  NPD (past)

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1194155002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CLAYTON ENGLISH DR",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310299441",
            "telephone_number": "478-394-1623",
            "fax_number": "770-914-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 OLD ATLANTA RD",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302231180",
            "telephone_number": "404-955-9108",
            "fax_number": "770-914-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLNER",
        "first_name": "LATOSHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "PHCP013303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wynns Pharmacy Services
• Jodeci Ybarra, DC
• Beverly Yingling, RN
• Yusha Zakai, MD
• Michelle Zebrowski, ANP
• Guoliang Zheng, MD
• Mark Andrew Ziegler, MD
• Andrew Ziemann

• Home Health Agency in Griffin, GA
• Providers in Griffin, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.