Organization Active NPI

Care Connect Homecare Services

  • Home Health Agency
  • Lawrenceville, GA
National Provider Identifier
1316690449
Registry record updated Jan 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARE CONNECT HOMECARE SERVICES
Practice address
1025 Paper Creek Dr
Lawrenceville, GA 30046-5358
Phone
(678) 524-9409
Fax
(678) 243-5657
NPI assigned
Jan 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2022

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

Authorized official

Name
Mrs. Ray CampbellNPI 1861164428
Title
Nursing Director
Phone
(678) 524-9409

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 Primary

Addresses

Primary practice location

1025 Paper Creek Dr
Lawrenceville, GA 30046-5358

Mailing address

1025 Paper Creek Dr
Lawrenceville, GA 30046-5358
Phone (678) 524-9409

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643414400000",
    "number": "1316690449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 PAPER CREEK DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465358",
            "telephone_number": "678-524-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 PAPER CREEK DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465358",
            "telephone_number": "678-524-9409",
            "fax_number": "678-243-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CONNECT HOMECARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-29",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "NURSING DIRECTOR",
        "authorized_official_telephone_number": "678-524-9409",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.