Healthcare for Kids Ga, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

HEALTHCARE FOR KIDS GA, LLC

Practice address

576 Colonial Park Dr Ste 120
Roswell, GA 30075-3794

Phone

(239) 403-0402

NPI assigned

Dec 8, 2022

Organization subpart

Yes

Parent organization

HEALTHCARE FOR KIDS, INC.As reported in NPPES

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

Authorized official

Name

Emily Pennell

Title

Cfo

Phone

(239) 403-0402

Specialties & licenses 1

Addresses

Part of

Healthcare for Kids Ga LLC

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1235840513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 COLONIAL PARK DR STE 120",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 COLONIAL PARK DR STE 120",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753794",
            "telephone_number": "239-403-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE FOR KIDS GA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHCARE FOR KIDS, INC.",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "PENNELL",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "239-403-0402"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.