Organization Active NPI

Reliable Homecare of Georgia,LLC

  • Home Health Agency
  • Powder Springs, GA
National Provider Identifier
1285135657
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RELIABLE HOMECARE OF GEORGIA,LLC
Practice address
4480 Worthings CT
Powder Springs, GA 30127-1471
Phone
(770) 256-9161
NPI assigned
Feb 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Authorized official

Name
Joachim Nwagwu
Title
Owner
Phone
(770) 256-9161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4480 Worthings CT
Powder Springs, GA 30127-1471

Mailing address

4480 Worthings CT
Powder Springs, GA 30127-1471

Other identifiers 1

IdentifierTypeStateIssuer
049183634OtherDRIVERS LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1285135657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 WORTHINGS CT",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301271471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 WORTHINGS CT",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301271471",
            "telephone_number": "770-256-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE HOMECARE OF GEORGIA,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "NWAGWU",
        "authorized_official_first_name": "JOACHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-256-9161"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "049183634",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.