Organization Active NPI

Heart2 Heart Health

  • Nurse's Aide
  • College Park, GA
National Provider Identifier
1285831008
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
031R0021 Issued in GA
Legal business name
HEART2 HEART HEALTH
Practice address
1750 Lyle Ave
College Park, GA 30337-1203
Phone
(404) 763-4114
Fax
(404) 763-4115
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Debra Jean Johnson, CEO
Title
Adm.
Phone
(404) 763-4114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X 031R0021 GA Primary

Addresses

Primary practice location

1750 Lyle Ave
College Park, GA 30337-1203

Mailing address

1750 Lyle Ave
College Park, GA 30337-1203
Phone (404) 763-4114

National Provider Directory

National Provider Directory

Locations

1750 Lyle Ave
College Park, GA 30337
Phone (404) 763-4114

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1285831008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 LYLE AVE",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303371203",
            "telephone_number": "404-763-4114",
            "fax_number": "404-763-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 LYLE AVE",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303371203",
            "telephone_number": "404-763-4114",
            "fax_number": "404-763-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART2 HEART HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADM.",
        "authorized_official_telephone_number": "404-763-4114",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "031R0021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.