Organization Active NPI

Canara Cares LLC

  • Home Health Agency
  • Fayetteville, GA
National Provider Identifier
1326805011
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CANARA CARES LLC
Practice address
1415 Highway 85 N Ste 310428
Fayetteville, GA 30214-7738
Phone
(770) 709-8104
NPI assigned
Feb 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Tarvoria Russ
Title
Management
Phone
(404) 631-7303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1415 Highway 85 N Ste 310428
Fayetteville, GA 30214-7738

Mailing address

1415 Highway 85 N Ste 310428
Fayetteville, GA 30214-7738
Phone (770) 709-8104

National Provider Directory

National Provider Directory

Locations

1415 Highway 85 N
Ste 310428
Fayetteville, GA 30214
Phone (770) 709-8104

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1326805011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HIGHWAY 85 N STE 310428",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147738",
            "telephone_number": "770-709-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 HIGHWAY 85 N STE 310428",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147738",
            "telephone_number": "770-709-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANARA CARES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "RUSS",
        "authorized_official_first_name": "TARVORIA",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "404-631-7303"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.