Peachtree Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PEACHTREE HOME CARE

Practice address

1220 Mecaslin St NW Apt 2432
Atlanta, GA 30318-5659

Phone

(870) 945-5038

NPI assigned

Aug 16, 2019

Last updated

Aug 16, 2019By 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

Mr. Dominic Anthony Williams, RN

Title

Owner

Phone

(870) 945-5038

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1205482098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MECASLIN ST NW APT 2432",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185659",
            "telephone_number": "870-945-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MECASLIN ST NW APT 2432",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185659",
            "telephone_number": "870-945-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-945-5038",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peachtree Hills Pediatric Dentistry
• Peachtree Internal Medicine, P.C.
• Peachtree Kidney & Hypertension Specialists, LLC
• Peachtree Lab Services
• Peachtree Laboratory Associates PC
• Peachtree Medical Equipment LLC (PeachTree DME)

• In Home Supportive Care Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.