Active NPI
Caregap Home Health
- Home Health Agency
- Braselton, GA
National Provider Identifier
1285430462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2025
- 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
- Krystal Nkem Ikemba-Madu, PHARMD.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Braselton, GA
- NPI 1841164886
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.