Organization Active NPI

Hallmark Georgia Homecare LLC

  • In Home Supportive Care Agency
  • Peachtree City, GA
National Provider Identifier
1194540674
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HALLMARK GEORGIA HOMECARE LLC
Practice address
401 Westpark CT
Peachtree City, GA 30269-3572
Phone
(404) 806-8299
NPI assigned
Nov 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Avante Upshaw
Title
Owner
Phone
(404) 806-8299

Specialties & licenses 1

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

Addresses

Primary practice location

401 Westpark CT
Peachtree City, GA 30269-3572

Mailing address

2387 Beecher Rd SW
Atlanta, GA 30311-2553
Phone (404) 831-2178

Other names 1

  • Hallmark Homecare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1194540674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2387 BEECHER RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303112553",
            "telephone_number": "404-831-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WESTPARK CT",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693572",
            "telephone_number": "404-806-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLMARK GEORGIA HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "UPSHAW",
        "authorized_official_first_name": "AVANTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-806-8299"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hallmark Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.