Active NPI
Custom Living Care
- Nursing Care Agency
- Atlanta, GA
National Provider Identifier
1235724535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- CUSTOM LIVING CARE
- Practice address
- 3949 Kingfisher Dr
Atlanta, GA 30349-1990 - Phone
- (122) 934-4696
- NPI assigned
- Mar 8, 2021
- 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
- Kristina Howell
- Title
- Owner
- Phone
- (229) 344-6962
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
3949 Kingfisher Dr
Atlanta, GA 30349-1990
Mailing address
3949 Kingfisher Dr
Atlanta, GA 30349-1990
Phone (122) 934-4696
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Forest Park, GA
- NPI 1619325347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628294400000",
"number": "1235724535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3949 KINGFISHER DR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303491990",
"telephone_number": "122-934-4696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3949 KINGFISHER DR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303491990",
"telephone_number": "122-934-4696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUSTOM LIVING CARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-08",
"last_updated": "2021-08-07",
"certification_date": "2021-08-07",
"status": "A",
"authorized_official_last_name": "HOWELL",
"authorized_official_first_name": "KRISTINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "229-344-6962"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.