Active NPI
Splash Staffing Network LLC
- Nursing Care Agency
- Snellville, GA
National Provider Identifier
1235724725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- SPLASH STAFFING NETWORK LLC
- Practice address
- 2330 Scenic Hwy S
Snellville, GA 30078-3115 - Phone
- (404) 663-2468
- NPI assigned
- Mar 5, 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
- Rosaline Elombi
- Title
- RN
- Phone
- (404) 663-2468
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
2330 Scenic Hwy S
Snellville, GA 30078-3115
Mailing address
2330 Scenic Hwy S # 405
Snellville, GA 30078-3115
Phone (404) 663-2468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210315002571 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 9638585789 | Practice locations: Snellville, GA |
National Provider Directory
National Provider DirectoryLocations
2330 Scenic Hwy S
Ste 405
Snellville, GA 30078
Phone (404) 663-2468
2330 Scenic Hwy S
#405
Snellville, GA 30078
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Agency
- Snellville, GA
- NPI 1831795608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614902400000",
"number": "1235724725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 SCENIC HWY S # 405",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300783115",
"telephone_number": "404-663-2468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 SCENIC HWY S",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300783115",
"telephone_number": "404-663-2468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPLASH STAFFING NETWORK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-05",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A",
"authorized_official_last_name": "ELOMBI",
"authorized_official_first_name": "ROSALINE",
"authorized_official_title_or_position": "RN",
"authorized_official_telephone_number": "404-663-2468"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.