Active NPI
Personal Home Care of Atlanta, LLC
- Nursing Care Agency
- Smyrna, GA
National Provider Identifier
1245877356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- PERSONAL HOME CARE OF ATLANTA, LLC
- Practice address
- 2400 Herodian Way SE Ste 220
Smyrna, GA 30080-8500 - Phone
- (470) 495-2829
- Fax
- (404) 902-6575
- NPI assigned
- Dec 8, 2019
- 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
- Ms. Yasmine Nozile
- Title
- Administrator
- Phone
- (470) 495-2829
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
2400 Herodian Way SE Ste 220
Smyrna, GA 30080-8500
Mailing address
2400 Herodian Way SE Ste 220
Smyrna, GA 30080-8500
Phone (470) 495-2829
National Provider Directory
National Provider DirectoryLocations
2400 Herodian Way SE
Ste 220
Smyrna, GA 30080
Phone (678) 346-0808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690243200000",
"number": "1245877356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 HERODIAN WAY SE STE 220",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300808500",
"telephone_number": "470-495-2829",
"fax_number": "404-902-6575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 HERODIAN WAY SE STE 220",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300808500",
"telephone_number": "470-495-2829",
"fax_number": "404-902-6575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSONAL HOME CARE OF ATLANTA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-08",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A",
"authorized_official_last_name": "NOZILE",
"authorized_official_first_name": "YASMINE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "470-495-2829",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.