Organization Active NPI

SCCL LLC

  • Home Health Agency
  • Dunwoody, GA
National Provider Identifier
1205587458
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jan 19, 2022

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)CodeLicenseStatePrimary
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 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": "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.

Verify at the official NPI Registry.