Mothers Wish LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MOTHERS WISH LLC

Practice address

6832 Wynmeadow Dr
Stone Mountain, GA 30087-6361

Phone

(404) 421-3014

NPI assigned

Jul 12, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea Marie Shands

Title

Owner

Phone

(404) 421-3014

Specialties & licenses 2

Addresses

Other names 1

• Mothers Wish Home Healthcare Services Other name

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1285368613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6832 WYNMEADOW DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300876361",
            "telephone_number": "404-421-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6832 WYNMEADOW DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300876361",
            "telephone_number": "404-421-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHERS WISH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "SHANDS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-421-3014",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mothers Wish Home Healthcare Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Home Health Agency in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.