Home Health Agency of Georgia LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HOME HEALTH AGENCY OF GEORGIA LLC

Doing business as

Camellia Home Health

Practice address

1705 Enterprise Way SE
Suite 102
Marietta, GA 30067-9224

Phone

(678) 354-1456

Fax

(678) 797-5761

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Wilford A. Payne III

Title

President

Phone

(601) 544-2900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Camellia Home Health Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Caresouth HHA Holdings of Gainesville, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Kennesaw, GA
  • NPI 1720435829

  Sold to, 2016-05-01

  CMS change of ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeff Klassen, OTRL

  • Occupational Therapist
  • Ocean Springs, MS
  • NPI 1104015940
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1225068612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1956",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394031956",
            "telephone_number": "601-544-2900",
            "fax_number": "601-264-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 ENTERPRISE WAY SE",
            "address_2": "SUITE 102",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679224",
            "telephone_number": "678-354-1456",
            "fax_number": "678-797-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH AGENCY OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "WILFORD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-544-2900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113093084A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camellia Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaala Holt, RBT
• Margaret Courtney Holtz, M.D.
• Noel Holtz, M.D.
• Candi Holyfield, FNP-C
• Monica Ellen Holzwarth, M.D
• Home Health Agency of Georgia, LLC (Camellia Home Health and Hospice)
• Caroline Elizabeth Homer, OT R/L
• Brianna Danielle Homsey, DPT
• Kendra Kay Honea, NP
• Aaron Hoodin, MS

• Home Health Agency in Marietta, GA
• Providers in Marietta, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.