Organization Active NPI

Caregap Home Health

  • Home Health Agency
  • Braselton, GA
National Provider Identifier
1285430462
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CAREGAP HOME HEALTH
Practice address
2164 Northern Oak Dr
Braselton, GA 30517-6064
Phone
(404) 618-3424
Fax
(404) 618-3428
NPI assigned
Feb 20, 2025
Last updated
Feb 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Krystal Nkem Ikemba-Madu, PHARMD.NPI 1841164886
Title
Director
Phone
(404) 618-3424

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

2164 Northern Oak Dr
Braselton, GA 30517-6064

Mailing address

2164 Northern Oak Dr
Braselton, GA 30517-6064
Phone (404) 618-3424

Other names 1

  • CAREGAP HOME HEALTH Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1285430462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2164 NORTHERN OAK DR",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305176064",
            "telephone_number": "404-618-3424",
            "fax_number": "404-618-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2164 NORTHERN OAK DR",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305176064",
            "telephone_number": "404-618-3424",
            "fax_number": "404-618-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREGAP HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "IKEMBA-MADU",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "NKEM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-618-3424",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAREGAP HOME HEALTH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Braselton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.