Active NPI
Spectrum Family Care LLC
- In Home Supportive Care Agency
- Valdosta, GA
National Provider Identifier
1336493550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SPECTRUM FAMILY CARE LLC
- Practice address
- 3403 Bemiss Rd
Suite C
Valdosta, GA 31605-7062 - Phone
- (229) 412-8866
- NPI assigned
- Nov 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Amila Smith
- Title
- Owner
- Phone
- (229) 412-8866
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
3403 Bemiss Rd
Suite C
Valdosta, GA 31605-7062
Mailing address
61 Brookfield Dr
Lakeland, GA 31635-5318
Phone (229) 232-7093
National Provider Directory
National Provider DirectoryLocations
3403 Bemiss Rd
Ste C
Valdosta, GA 31605
Phone (229) 412-8866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352419200000",
"number": "1336493550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 BROOKFIELD DR",
"city": "LAKELAND",
"state": "GA",
"postal_code": "316355318",
"telephone_number": "229-232-7093",
"fax_number": "229-253-0054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3403 BEMISS RD",
"address_2": "SUITE C",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316057062",
"telephone_number": "229-412-8866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECTRUM FAMILY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-09",
"last_updated": "2012-11-09",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "AMILA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "229-412-8866",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.