Organization Active NPI

Galaxy Homecare & Health Services LLC

  • In Home Supportive Care Agency
  • Dallas, GA
National Provider Identifier
1215526538
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GALAXY HOMECARE & HEALTH SERVICES LLC
Practice address
106 Somerset Dr
Dallas, GA 30132-9755
Phone
(770) 250-7468
NPI assigned
Jan 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Authorized official

Name
Moise Mayo
Title
Owner
Phone
(404) 550-8639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

106 Somerset Dr
Dallas, GA 30132-9755

Mailing address

106 Somerset Dr
Dallas, GA 30132-9755
Phone (770) 250-7468

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2221368Galaxy Homecare & Health Services LLC106 Somerset Drive, Dallas, GA 30132Certificate of waiverApr 20, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1215526538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SOMERSET DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301329755",
            "telephone_number": "770-250-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SOMERSET DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301329755",
            "telephone_number": "770-250-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALAXY HOMECARE & HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "MOISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-550-8639"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.