Active NPI
SCCL LLC
- Home Health Agency
- Dunwoody, GA
National Provider Identifier
1205587458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SCCL LLC
- Practice address
- 1363 Valley View Road
Dunwoody, GA 30338 - Phone
- (678) 769-2929
- NPI assigned
- Jan 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lucas Fornasini
- Title
- Owner
- Phone
- (678) 769-2929
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X |
Addresses
Primary practice location
1363 Valley View Road
Dunwoody, GA 30338
Mailing address
1363 Valley View Rd
Dunwoody, GA 30338-4822
Phone (678) 769-2929
Other names 1
- SCCL Home Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642550400000",
"number": "1205587458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1363 VALLEY VIEW RD",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303384822",
"telephone_number": "678-769-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1363 VALLEY VIEW ROAD",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "30338",
"telephone_number": "678-769-2929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCCL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-10",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A",
"authorized_official_last_name": "FORNASINI",
"authorized_official_first_name": "LUCAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-769-2929"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SCCL Home Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SCCL Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dunwoody, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.