NPIMap

Organization Active NPI

Personalized Home Health Care, LLC

  • In Home Supportive Care Agency
  • Stone Mountain, GA
National Provider Identifier
1215264551
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
044-R-0629 Issued in GA
Legal business name
PERSONALIZED HOME HEALTH CARE, LLC
Doing business as
Personalized Care, LLC
Practice address
1940 Greensbrooke Close
Stone Mountain, GA 30088-4434
Phone
(314) 443-4803
Fax
(770) 559-8792
NPI assigned
Nov 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Authorized official

Name
Mrs. Dianne West
Title
Executive Director/Manager
Phone
(314) 443-4803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 044-R-0629 GA Primary

Addresses

Primary practice location

1940 Greensbrooke Close
Stone Mountain, GA 30088-4434

Mailing address

1940 Greensbrooke Close
Stone Mountain, GA 30088-4434

Other names 1

  • Personalized Care, LLC 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": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1215264551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 GREENSBROOKE CLOSE",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300884434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 GREENSBROOKE CLOSE",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300884434",
            "telephone_number": "314-443-4803",
            "fax_number": "770-559-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/MANAGER",
        "authorized_official_telephone_number": "314-443-4803",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "044-R-0629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personalized Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.