Beloved Hearts Residential Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BELOVED HEARTS RESIDENTIAL CARE LLC

Practice address

2443 Brynlyn Woods Dr NE
Conyers, GA 30013-1440

Phone

(404) 904-7680

NPI assigned

Oct 10, 2017

Organization subpart

No

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

Authorized official

Name

Crystal Germany

Title

Ceo

Phone

(404) 904-7680

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1306356852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 BRYNLYN WOODS DR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131440",
            "telephone_number": "404-904-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2443 BRYNLYN WOODS DR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131440",
            "telephone_number": "404-904-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELOVED HEARTS RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "GERMANY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-904-7680"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.