Park Springs, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

044-R-0177 Issued in GA

Legal business name

PARK SPRINGS, LLC

Doing business as

Park Springs Home Care

Practice address

500 Springhouse Cir
Stone Mountain, GA 30087-6718

Phone

(678) 684-3036

Fax

(770) 879-7330

NPI assigned

Jun 18, 2007

Last updated

Apr 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin W Isakson

Title

Manager

Phone

(404) 932-6552

Specialties & licenses 2

Addresses

Other names 1

• PARK SPRINGS HOME CARE Doing business as

Tax ID family

Park Springs Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Park Springs, LLC

  dba Park Springs Wellness Clinic

  • Health Service Clinic/Center
  • Stone Mountain, GA
  • NPI 1962628669
  NPD tax ID

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1205031507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SPRINGHOUSE CIR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300876718",
            "telephone_number": "678-684-3036",
            "fax_number": "770-879-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SPRINGHOUSE CIR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300876718",
            "telephone_number": "678-684-3036",
            "fax_number": "770-879-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SPRINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "ISAKSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-932-6552"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "044-R-0177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARK SPRINGS HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PARK SPRINGS HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan Pace, EMT-I
• Sharla M Palmer, OTR
• Paradise for Living Services, Inc.
• Paramount Healthcare Professionals, LLC
• Park Springs, LLC (Pebblebrook Health Center at Park Springs)
• Park Springs, LLC (Park Springs Wellness Clinic)
• Chin S Park, DMD
• Dawn Ledford Parker, NP-C
• Erin Parks
• Parrott Solutions, LLC

• Home Health Agency in Stone Mountain, GA
• Providers in Stone Mountain, 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 Apr 30, 2018; 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.