Organization Active NPI

Secured Home Care LLC

  • In Home Supportive Care Agency
  • Marietta, GA
National Provider Identifier
1316781933
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SECURED HOME CARE LLC
Practice address
1667 Canton Rd Ste B
Marietta, GA 30066-6491
Phone
(404) 667-0255
Fax
(877) 570-2351
NPI assigned
Jun 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Authorized official

Name
Pamela Ibiso Obenofunde
Title
Manager
Phone
(404) 667-0255

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

1667 Canton Rd Ste B
Marietta, GA 30066-6491

Mailing address

1667 Canton Rd Ste B
Marietta, GA 30066-6491
Phone (404) 667-0255

National Provider Directory

National Provider Directory

Locations

1667 Canton Rd
Ste B
Marietta, GA 30066
Phone (404) 667-0255

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1316781933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 CANTON RD STE B",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666491",
            "telephone_number": "404-667-0255",
            "fax_number": "877-570-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 CANTON RD STE B",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666491",
            "telephone_number": "404-667-0255",
            "fax_number": "877-570-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURED HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "OBENOFUNDE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "IBISO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-667-0255"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.